Health Forms

New York State Education Department requires written authorization for the administration of medications in school. The top section of the form is to be completed by the parent and the physician must complete the lower section. This complete form must be returned to the Health Office by September 1. This authorization policy applies to both prescription and over-the-counter medication such as Tylenol.Some children may be ready to return to school even if they are still taking medication. We need to have signed notes from the doctor and the parent giving permission to dispense the medicine. All medication should be in the original container.Complete the form for any medication which may be required on a daily basis or as needed (for headaches, asthma, allergy, etc.) during the school year. Thank you for your cooperation regarding this mandated medication policy.

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