Your School Nurse: K. Pantino, RN (Elementary School) R. Hirdt, RN (Middle School) W. Kollmer, RN (High School)

Mount Sinai School District

Contact a School Nurse

Health Services
Seasonal Update
District Health Protocols


Nutrition / Wellness

Health WebSites
Elem. Food Allergy Info
Diabetes Info


Medical Forms

These forms may be printed, filled out, and submitted to any building. You will need Adobe Reader to view the forms. A free download is available at

Allergy Action Plan Form

Physical/Sports Exam Form

Health History Form

Parent BMI Information

Medical Consent Form

Dental Health Certificate  

School Trip Health Form

Medication Authorization Form


According to New York State Law, there are certain criteria to be met before a child can be given medication in school.

Medication may not be administered unless written permission is obtained from the parent. Written permission, as well as directions regarding frequency, dosage and possible side effects/adverse reactions, must also be obtained from the doctor. If your physician does not have the “ New York State Medication Authorization for Administering Medication in School” form, they are available in the Health Office or on-line.

An ADULT must deliver any medication in the original labeled container from the pharmacy. NO medication is to be sent in with students or kept in the classroom.




Mount Sinai School District * Mount Sinai, New York