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
Physicals
Medications
Forms

Immunization

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 Adobe.com.

Allergy Action Plan Form

Physical Examination Letter and Form

Health History Form

Parent BMI Information

End of the Year Physical Letter

End of the Year Physical Letter for Incoming 7th Graders

Medical Consent Form

Dental Health Certificate  

Emergency Card (Updated)

School Trip Health Form

Medication Authorization Form

MEDICATION PROCEDURE

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