Welcome to the Liberty Elementary School Nurse's Office

Medical information (health forms, MD notes, etc.) can be submitted to the Nurse's Office as indicated below:

  • By mail to:  Liberty Elementary School  Attn: K. Fredericks, RN  142 Lake Rd. Valley Cottage, NY 10989
  • Fax: 845-353-7243
  • Email attachment to:  Kfredericks@nyackschools.org
  • Dropped off in main office addressed to K. Fredericks, RN


Be sure your School Nurse has a working contact number for someone who is available (and authorized) to pick up your child should they become ill at school.


New York State mandated years for health exams and screenings have changed

The NYS Health Examination form will NOT be exclusively required in 2019 and the general MD health forms will be acceptable for the 2019-2020 school year.
Health examinations will be required in grades PreK or K, 1, 3, 5, 7, 9, and 11.
• Vision screening for distance and near vision acuity will be required in grades Pre K or K, 1, 3, 5, 7, and 11.
• Hearing screening utilizing pure tone testing will be required in grades Pre K or K, 1, 3, 5, 7, and 11.
• Scoliosis screening will be required in grade 5 for girls.


Medication orders MUST be renewed annually, this includes Tylenol, Advil, Benadryl, Epipens & Asthma Inhalers- Forms can be found below.

 Parents, please review the current announcements below regarding important health information, including: 

  • Allergies
  • Asthma
  • Dental Health
  • Medication in school
  • Vision


Contact Info

Kathleen Fredericks, RN

Phone: (845) 353-7250


Fax: (845) 353-7243


  • Medication and your child

    No medication can be carried by your child in the elementary school. However, your child can receive medication from the school nurse with a prescription from their doctor. If you would like to allow your child to take Tylenol or Ibuprofen in school for headaches or other ailments, please complete the top portion of the attached form. Your physician must complete the bottom portion and sign his/her initials in the appropriate boxes for the form to be a valid prescription. Return the form to the nurse's office by hand, email (kfredericks@nyackschools.org) or fax (845-353-7243). The form will need to be completed each school year. Any other prescribed medication can be written on an MD prescription pad and attached to this form. Medications other than Tylenol, Ibuprofen and Benadryl must be supplied to the Nurse in it's labeled, original container with the child's name on it.

    Medication Order Form:

    Nurse Notes
  • Message from the School Nurse Regarding Absences

    If you are keeping your child home sick with any symptoms of Covid-19 (i.e. cold or allergy symptoms, fever, cough, headache, sore throat, nausea, vomiting, diarrhea, body aches, extreme fatigue, new loss of taste or smell) please call Attendance at 845-353-7241 or the Nurse's Office at 845-353-7250 and report the absence & the symptom(s) in your message.

    While many illnesses other than Covid-19 can present with similar symptoms, we must be cautious. Your child should stay home if experiencing symptoms. 

    If Covid positive please notify the school right away by calling 845-353-7250 or email the nurse at kfredericks@nyackschools.org

    If a student is absent more than 3 days due to illness, they will require an MD note to return to school


    Nurse Notes

    All forms that may be required for your child can be found here:  Health Certificate, Medication Administration, Dental, Asthma Plan, Allergy Plan, & Vision Exam.

    The Health Certificate (physical exam) is required for K, 1st, 3rd & 5th graders as well as all new students to the district

    Medication administration in school requires a physician's order and parental permission. If a medication is not included on our form, please have the MD write a prescription and attach it to the signed form. All medications submitted to the nurse for administration must be in their original labeled pharmacy container.

    If your child has asthma or severe allergies to food, bees or exposures (i.e., latex) please have the appropriate plan signed by your child's doctor along with the medication administration form.

    If your child has a vision or dental exam during the year, please have the doctor or dentist complete the appropriate form at the time of the visit. This can be turned in at any time.

    All forms can be faxed to (845) 353-7243; emailed to kfredericks@nyackschools.org  or mailed to Liberty Elementary School 142 Lake Rd Valley Cottage NY 10989 Attention: School Nurse


    Nurse Notes
  • For children with ALLERGIES....

    If your child has any allergies to food, medication, or bee stings, please have your physician complete the "Allergy Action Plan" which is attached below.  This form (as well as an Epi-Pen for school) is  required for any children who have been prescribed an Epi-Pen for their allergy


    Nurse Notes
  • Does your child have asthma?

    Please submit an Allergy Action Plan along with a doctor's order for your child's inhaler/nebulizer medication to the Nurse's Office. No medication can be administered without the necessary forms and documentation. We want to be able to help your child in the event that an emergency arises. There is a nebulizer available for use in the Nurse's Office. The parent/guardian must supply the necessary inhalation solution.

    Asthma Action Plan:

    Nurse Notes
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New York State Department of Health:   www.health.ny.gov 

Health Certificate (*required for grades K, 1, 3, 5  & new students) :   ReqNYSSchoolHealthExamForm.pdf