Medical Office / Medical Forms

Skip to Main Content

Search Our Site

MD Clearance

MD- clearance note.pdf 187.6 KB (Last Modified on October 27, 2021)

Comments (-1)
MD - Clearance (Spanish)

MD-clearancenote sp.pdf 136.65 KB (Last Modified on October 27, 2021)

Comments (-1)
Authorization for Administration of Medication in School

1180M Medication administration_21-22.pdf 159.15 KB (Last Modified on June 22, 2021)

Comments (-1)
Post COVID-19 Return to Activity Clearance Form

Post COVID Clearance Form - 12-2021.pdf 430.39 KB (Last Modified on December 8, 2021)

Comments (-1)
Physical Activity Modification Form

PhysicalActivityModificationForm.pdf 613.05 KB (Last Modified on May 21, 2020)

Comments (-1)
Physical Examination Report Grades K-12

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

Comments (-1)
Student Dental Form

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

Comments (-1)
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)

Comments (-1)
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)

Comments (-1)
Sports Health History Form & Consent

Sports_Health_History_1-2021.pdf 235.14 KB (Last Modified on May 6, 2021)

Comments (-1)
Sports Health History Form & Consent (Spanish)

Spanish SportsHealthHistory Consent.pdf 233.53 KB (Last Modified on June 22, 2021)

Comments (-1)
Sports Medical Clearance Process

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

Comments (-1)

CLOSE

CLOSE