PVC NURSE
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  • ATTENDANCE
  • FORMS
  • Immunization & Health Requirements
  • MODIFIED SPORTS
  • PVC student GUIDELINES & INFO
  • COVID
  • Contact & district links
  • Allergy resources
  • Medication Pick Up Reminder
  • OTHER
  • HOME
  • ATTENDANCE
  • FORMS
  • Immunization & Health Requirements
  • MODIFIED SPORTS
  • PVC student GUIDELINES & INFO
  • COVID
  • Contact & district links
  • Allergy resources
  • Medication Pick Up Reminder
  • OTHER

FORMS

All health examinations MUST be documented on
the the New NYSED Required New York State Health Examination Form only.

​​http://www.p12.nysed.gov/sss/documents/health-exam-form.pdf

​NYS does not permit us to accept health records on any other form.
​
​​IMPORTANT NOTICES REGARDING PHYSICAL EXAMS:
  • All new students and students entering grades K, 1, 3, 5, 7, 9 & 11 are required to provide a health examination form.   
  • Health exams must be dated within 12 months of the first day of school. 
  • If your child plans to sign up for Modified Sports (7th & 8th grade only), the physical exam must be dated within 12 months of the start date of the sport.
NYSED HEALTH HEALTH EXAMINATION FORM (PHYSICAL EXAM)
Rx and OTC MEDICATION ADMINISTRATION FORM
medication instructions
athletic participation form

FORMULARIO DE PARTICIPACIÓN DEPORTIVA

emergency contact form (k12 login)
Health & safety committee concern form
SEVERE ALLERGY & MEDICAL CONDITION FORMS:
  • BEE ALLERGY 
  • FOOD ALLERGY ACTION PLAN
  • ​DIABETES MEDICAL MANAGEMENT PLAN / DIABETES SUPPLY LIST 
  • ​SCHOOL DISTRICT ANAPHYLAXIS GUIDELINES
  • ASTHMA
  • ALLERGY AWARENESS INFORMATION

OTHER FORMS:​
  • POTASSIUM IODIDE (KI+) OPT OUT FORM
  • POTASSIUM IODIDE (KI+) INFORMATION
  • Hoja informativa sobre el Uso del yoduro de potasio (KI por su fórmula química) y emergencias radioactivas 
  • BMI OPT OUT INFORMATION AND FORM
  • OPTAR POR NO PARA EL ESTUDIO DE BMI/GRUPO DE PESO 
  • DENTAL HEALTH CERTIFICATE FORM
  • SUNSCREEN FORM​
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