Forms

Physical and Dental Forms

New York State law requires a current physical examination for all students upon entering the school district for the first time and upon entering grades  Pre-K, K, 1, 3, 5. The examination and Physical Form must be completed and signed by a New York State licensed healthcare provider. A Dental Certificate which states your child has been evaluated by a dentist or dental hygienist is also requested at the same time.

Please note:
● Physical and dental exams must be dated within 12 months of the student starting school.
● All physical exams must be submitted within 30 days of the student starting school.
● If your child has an appointment scheduled during this school year that is after the first 30 days of school, please notify the school health office of the date.
● Physicals should be completed on the required New York State School Health Examination form.
● Required physical forms may be accessed via the school’s health office webpage.

A Consent for treatment PreK for registration  treatment must be submitted to the Health Office


Medication Forms

Medication Administration Orders

KI Refusal/Opt-Out


Activity Restriction Forms

Elementary School PE Modification


Immunization Form

Immunizations and Medical Exemption