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HEALTH FORMS

HEALTH FORMS

Click on the links below for printable health forms.

Health History Form (for all new registrations)

Required by St Anne's School for all new registrations.

NYS Physical Examination Form   

NYSED requires a physical exam for new entrants and students in Grades Pre-K or K, 1, 3, 5, 7, 9 & 11; annually for interscholastic sports; and working papers as needed; or as required by the Committee on Special Education (CSE) or Committee on Pre-School Special education (CPSE).


Dental Health Certificate Form   

New York State law (Chapter 281) permits schools to request an oral health assessment in the following grades: school entry, K, 1, 3, 5, 7, 9, and 11. Your child may have a dental check-up during this school year to assess his/her fitness to attend school. Please complete Section 1 and take the form to your registered dentist or registered dental hygienist for an assessment. If your child had a dental check-up before he/she started the school, ask your dentist/dental hygienist to fill out Section 2. Return the completed form to the school's medical director or school nurse as soon as possible. 

Authorization for the Administration of Medication in School

Emergency Care Plan


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