HEALTH FORMS - QUICK ACCESS
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 firstname.lastname@example.org or mailed to Liberty Elementary School 142 Lake Rd Valley Cottage NY 10989 Attention: School Nurse