Every year it is necessary to update the health information on your child. Please read ALL the information and forms below carefully.
According to NYS public health law 2164, all students must be compliant with immunizations requirements for school entrance/attendance. If your child has an appointment to receive a vaccination, please provide proof of the scheduled appointment by furnishing a document generated by your health care provider’s office.
See Vaccination Schedule Here
Students aged 11 years and entering the 6th grade for the 2021-2022 school year are required to have received the Tdap booster immunization.
Students aged 10 years and older, entering the 7th grade for the 2021-2022 school year are required to have received the meningococcal (MenACWY) immunization.
Please be further advised that by virtue of the failure to produce the necessary records of these immunizations as required by these sections of the Public Health Law and the Education Law of the state of New York, your child must be excluded from school. If the appropriate immunization records are not provided by August 31, 2021 your child will not be permitted to attend school until this matter is resolved.
All of the forms below require the signature of a physician. You can download and print the forms you need to submit prior to the beginning of the school year, and update annually or as information changes. You may submit completed forms using the online uploader below, by mail, or in person during school business hours. Forms #4 and #5 are only necessary if your child experiences asthma or anaphylactic reaction to allergens.
Per NYS education law 903, we must have a current up-to-date health examination for all students returning this Fall. These exams must be submitted on the New York State Health Exam Form or an electronic health record compatible form.
1. Annual Physical or Health Examination Record (include immunization records)
*Physicals (only valid for 1 year) and immunizations completed after May 1, 2021 must be submitted prior to the start of the new school year.
Medication Administration forms must be completed and signed by both the physician and the parent. This form is used for specific MD prescribed daily and PRN medications that will be required during the school day (e.g. inhaler, antibiotics, seizure medications, or as needed meds for a chronic condition, such as Tylenol for migraines/headaches or Benadryl for a mild allergy).
2. Medication Administration Permission Request Form
The OTC form is to have on hand for any student that may require acute care for a situation that may happen during the school day (e.g. a cut that may require antibacterial ointment). If your child has severe allergies that require an EPI pen, please contact the health office.
3. OTC (Over-the-counter) Medication Permission Form
4. Allergy and Anaphylaxis Emergency Plan Form
5. Asthma Action Plan Form
If you have any health related questions, please contact the health office, 845-687-4855 or email email@example.com .