Student Health Forms

To Parents/Guardians,
 

According to New York State Education Law 903 and Regulations of the Commissioner of Education, any child in Pre-K, K, 1, 3, 5 and 7 and all new entrants must have a current health appraisal (physical) on record in the School’s Health Office. This examination must be completed within the 12 months prior to the start of the school year. An updated copy of immunizations should be included. Immunizations should be provided on new students when they register or as soon as possible.  When a health appraisal is required, we will also request a Dental Certificate.  The forms must be dated and signed by your child’s health care provider.

When they are completed and signed by the Health Care Provider, they may be mailed, faxed, or dropped off at the school. Starting school year 2021-2022, the attached NYS Health Examination Form should be used for ALL physicals.

It is essential that you keep the district informed of any changes in your child’s medical condition or modifications that are needed for their physical education program before the first day of school in the fall.

Please call the school’s Health Office if you have any questions or concerns at 585-394-4300 ext. 20.

Sincerely,
Jill Cross, RN
Jacqui Tessena, RN
School Nurses

Medical History Form
Health Examination Form
Dental Certificate