Health Requirements & Forms
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REQUIREMENTS
All Kindergarten and Early Childhood (Preschool & PreK) students require a Health Appraisal (physical examination) by a private physician. Also, required is an updated copy of immunizations for these students.
All new students and 1st, 3rd & 5th grade students require a physical exam before entrance into school in the fall. Parents should send this to the Health Office within thirty days of the start of the school year.
All students should submit an updated copy of immunizations if new immunizations have been given since last physical. NYS now requires that Immunization Certificates must be signed by your Health Care provider. An electronic signature is acceptable.
A dental certificate is requested for all new students and Kindergarten, 1st, 3rd & 5th grade.__________________________________________________________________________________________________
All Early Childhood (Preschool & PreK) students need to provide a written statement signed by a health care provider that documents Lead Screening at least 1 year of age but under 6 years of age. If a written statement of Lead Screening is not available from MD, documentation of the most recent LEAD LEVEL is acceptable.
Health Appraisals (physical examinations) are acceptable if they are completed within 12 months prior to the start of the school year. Prior to the first day of school, the Health Appraisal Form (available below) is to be completed by the doctor and returned to the school nurse.Health Appraisals and Immunization Records maybe emailed to [email protected]
or faxed to 585-394-3954. -
FORMS
Health Appraisal Form Dental Certificate Medical History Form
Emergency Health Care Plan for severe allergies
Emergency Health Care Plan for other severe health issues
Medication Authorization Form Pre-School - Grade 5
Medication Authorization Form Grade 6
Seizure Care Plan