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Compassionately Connected, Joyfully Engaged, Always Learning
 

Forms

Physical and Dental Forms

Physical Exam*
*Starting January 31, 2021, this NYS form will be the required form for physical exams dated on or after January 31, 2021. The district may continue to accept other documentation forms for physical exams dated on or before January 30, 2021.

Health History

Dental Exam


Medication Forms

Medication Administration Orders

Independent Carry and Use Medication Orders for Grades 6-12

Independent Carry and Use Medication Orders for Grades K-5

Healthcare Provider Attestation

KI Refusal/Opt-Out


Activity Restriction Forms

Elementary School PE Modification

Secondary School PE Modification (Generic)

Secondary School PE Modification (Sport-Specific)

Secondary School Building Level Clearance/Modifications


Immunization Exemption Forms

Medical Exemption




 

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