Note from the Nurse about Cold and Flu Season
NYS Immunization Requirements for School Entrance/Attendance
Authorization for Administration of Medications
Dental Health Certificate
Emergency Medical Plan
Health Certificate - Appraisal Form
Health History Form
Potassium Iodide Opt-Out Form
Emergency cards are to be made out in duplicate. One card will be
kept in the school's main office and the second will be kept in the Nurse's Office. This
information will be obtained at the beginning of September and include the student's name,
home telephone number, parents' place of employment and how they can be reached during the
day and the telephone numbers of relatives, friends or neighbors who the school may
contact if parents cannot be reached.
Please contact the school office is any of the emergency information
changes during the school year. The emergency information card authorizes the school to
contact any of the people on the form in case of any emergency.
New York State Public Health Law, Section 2164 Chapter 443 requires
that ALL students must be immunized or in the process of being immunized
prior to entering school. Any child not in compliance with this law will be expelled from
school. Please contact the school nurse on the immunizations needed.
New York State requires ALL students in Grades Pre-K or K,
2, 4 and 7 to have a yearly physical. Examinations can be performed by the student's
private physician or the school's physician. Physical examinations for the upcoming year
are acceptable if administered not more than twelve months prior to the commencement of
the school year in which the examination is required. A copy of the physical MUST be submitted to the school nurse and
placed in the student's health record. If done by the school physician, parents will be
notified of any disability or defect and, where necessary, directed to proper resources.
Please remember children should have a yearly physical as a preventative medical step to
safeguard against any serious illness. Please contact the school nurse if you have any
questions. Please contact the school nurse if you have any questions (944-0826).
All parents are URGED to call the school nurse
(944-0826) if and when a child develops ANY communicable disease (i.e.:
pediculoses (head lice), chickenpox, measles, ringworm, strep throat, tuberculosis,
hepatitis, scabies, etc.). Precautions must be made to protect all students. If in doubt,
please call the school nurse (944-0826).
Each time a child misses school, he/she must bring a written excuse,
dated and signed by the parent, stating the reason for his/her absence.
Under provisions of the State Education Law and as outlined in the
New York State Nursing Practice Act, a school nurse, principal or other personnel may not
dispense internal medications to school children.
When it is necessary for a student to take internal medication
during school hours, the nurse may cooperate with the family physician and parents. In
order to do this, we must have the following:
- Signed authorization from the parent
- Written signed orders from the physician
- The original prescription bottle of medication from the pharmacist
labeled as to its contents.
This medication must be brought to school by the parent and not sent
with a child on the school bus. Medication permission slips may be obtained from the