Medical Office / Medical Forms

Physical Examination Report Grades K-12

NYSSchoolHealthExamForm20182019.pdf 1.02 MB (Last Modified on May 15, 2018)

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Authorization for Administration of Medication in School (2019-20)

1180M Medication administration_19-20.pdf 208.5 KB (Last Modified on Thursday at 10:36 AM)

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Student Dental Form

Dental_Health_Report.pdf 934.5 KB (Last Modified on April 24, 2018)

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Food Allergy and Anaphylaxis Emergency Plan

Required only if your child has a food allergy.

emergency-care-plan.pdf 176.54 KB (Last Modified on April 24, 2018)

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Food Allergy and Anaphylaxis Emergency Plan (Spanish)

Requerido sólo si su hijo tiene alergia a los alimentos.

emergency-care-plan-spanish.pdf 132.49 KB (Last Modified on April 24, 2018)

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Sports Health History Form & Consent

Pink Form-Required for each sport season. *The form does not need to be pink if printed from the website.*

2 sided fillable form, for Middle School and High School ONLY

Sports_Health_History_6-2016.pdf 481.14 KB (Last Modified on April 24, 2018)

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Sports Medical Clearance Process

Sports_Medical_Clearance_Process.pdf 462.68 KB (Last Modified on April 24, 2018)

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