Student-Athletes with Medical Conditions - Confidential List

Sample Athletes Health Issues Form (fillable doc) which may be used by school nurses to share student medical needs with athletic directors/coaches (NYSCSH 7/21)
Sample clearance to participate in sports flowchart. (NYSCSH 4/18) 

Health Examination Resources for Schools

School Health Examination Guidelines 2018
Provides information on student health examination requirements and guidance for administrators and school health personnel in establishing the mandated health program. (Updated May 2018)

• Required NYS School Health Examination Form
  The form may be printed and completed by hand. (NYSED 2020). 
  
• Required NYS School Health Examination Form (Fillable PDF 2020) 
  This form may be completed electronically by saving it to your computer, entering the information into the fillable fields, and saving a copy for each student (NYSED 2020)

Sample Recommended NYSED Interval Health History for Athletics

Sample Recommended NYSED Interval Health History for Athletics (Fillable PDF) Includes questions related to COVID-19 (Updated 12/2020)

Sample Recommended NYSED Interval Health History for Athletics (Word) (Updated 12/2020)

Spanish Sample Recommended NYSED Interval Health History for Athletics (Word) (Updated 1/2021)

Sample Recommended Medical Certificate of Limitations Form May be used to document private provider recommendations for accommodation for PE (5/2018).

Sample Athlete with Special Needs Supplemental History Form May be used to obtain additional health information from athletes with special needs. (AAP-Bright Futures, 3/2018)

The links below redirect to the NYS Education Department Athletics and Coaching Page for the most current information on this topic.

Athletic Placement Process for Interschool Athletic Programs (Last updated 2017)

• Attachment C:  Physical Maturity Form (page 17) - form to be filled out by both Director of PE/Athletics AND Medical Director
• Attachment H:  Physical Maturity Chart (page 25) - Physical Maturity Chart - Recommended Tanner Scores APP  

APP Frequently Asked Questions (FAQ)

Competitive Cheerleading - Frequently Asked Questions

Concussion Management Guidelines

Guidelines for Sports Standards

Guidelines for Students with Disabilities: Extended Athletic Eligibility Waiver Form

Health Examination Guidelines for Schools

Mixed Competition

Page updated 7/29/21

Communicable Disease | COVID-19

The sample communications below should be reviewed and approved by your school medical director and school administrator. It is essential to maintain the confidentiality of affected students when sending notifications. If the local health department, in collaboration with the NYS Department of Health (NYSDOH), determines that there is an outbreak of a reportable communicable disease, they will provide response guidance to schools' medical directors and BOE's.

---

Communicable disease prevention, surveillance, notification, and reporting are important roles provided by the school health team. In addition to documenting the care of ill or injured students according to district procedures, it is important to share your observations and recommendations for following up with the student's parent or guardian. Information may include:

1. A description of the illness which includes the date, time, and details of the complaint.
2. Recommendations for follow up.
3. School health services contact information.
   

General Information on Illness and School Attendance

When to Keep a Child -  Home Instructions to Parents/Guardians Sample letter to share district guidelines. This letter should be reviewed and approved by the School Medical Director prior to use. (NYSCSH 12/2019) 

Sample Notification of Student Health Office Visit Due to Symptoms of COVID-19

Your Child Was Seen In the Health Office Due to Symptoms of COVID-19 This letter provides parents with information on why their child was excluded and why they are required to see a Health Care Provider (HCP), along with information to share with the HCP on what is required for students to return to in-person learning. This letter should be reviewed and approved by the School Medical Director prior to use. (NYSCSH 12/3/20)

Your Child Was Seen in the Health Office Due to Symptoms of COVID-19 (Spanish Version) (NYSCSH 1/2021)

Sample Non-Patient Specific Order for BinaxNow™ COVID-19 Testing

Sample Non-Patient Specific Order for BinaxNow™ COVID-19 TestingThis sample order can be used for schools implementing BinaxNow™ COVID-19 testing of students. It contains the required elements of an NYS non-patient-specific order. It should be reviewed and approved by the school medical director prior to use. (NYSCSH 12/20/20)

NYSCSH Non-Patient Specific Order Checklist based on NYS Office of Professions Information Page (12/21/20)

Sample School COVID-19 Testing Consent Form and Instructions

Sample School COVID Testing Consent Form This sample consent form was created to assist schools with the requirement to have parent/guardian permission on file prior to testing a child, this form also informs the parent/guardian of their child’s test results and other information which may be disclosed as permitted by law. (NYSCSH 10/22/21)

Sample School COVID-19 Testing Consent Form (Spanish Version) (NYSCSH 1/2021)

Sample School COVID Testing Consent Form Instructions This instruction sheet was created to assist schools in using the Sample COVID Testing Consent Form as a PDF. (NYSCSH 12/3/20)

Sample Health Office Visit for Illness|Injury Notifications and NYSDOH Information Fact Sheets

Sample Illness Notification This letter may be customized to alert parents/guardians to communicable illnesses. (NYSCSH12/1/19). 

NYSDOH and CDC Information Fact Sheets (this list is not all-inclusive)

• Chicken Pox NYSDOH Fact Sheet 
• Conjunctivitis - Letter to Parents/Guardians (NYSCSH, 11/2019)
• Conjunctivitis (Pink Eye) Fact Sheet Pink Eye 
• Fifth Disease NYSDOH Fact Sheet
• Flu NYSDOH Fact Sheet Parents: Fight Flu at Home and School English, Spanish, Bengali, Chinese, Haitian Creole, Korean, and Russian
• Hand Food Mouth Disease (Coxsackie Virus) NYSDOH Fact Sheet 
• Head Lice Alert Letter For Parents/Guardians Emphasizing Prevention (NYSCSH, 3/2019)
• Pediculosis (Lice) NYSDOH Fact Sheet
• Lice Treatment Guidelines (CDC)
• Impetigo NYSDOH Fact Sheet 
• Measles Resources for Parents and Childcare Provider Measles Webpage (CDC)
• Measles NYSDOH Fact Sheet Measles notification is determined in consultation with NYSDOH|LHD
• Pinworm Infection NYSDOH Fact Sheet
• Mycoplasma Infection (walking pneumonia, atypical pneumonia) Disease NYSDOH Fact Sheet
• Ringworm NYSDOH Fact Sheet
• Scabies NYSDOH Fact Sheets
• Shingles NYSDOH Fact Sheet 
• Skin Infections in Athletes NYSDOH Fact Sheet 
• Streptococcal Infections NYSDOH Fact Sheet

---

INJURIES

---

The following sample form may be customized and used by districts based on your school  Medical Director's Guidance and BOE policies.  

Notification to Parent/Guardian of Student Health Office Visit Provides a checklist that may be used by the school nurse to document student visits, first aid provided, and the method by which the parent/guardian was notified. It includes information on injuries related to abrasions, cuts, or puncture wounds, which may require follow-up.  Symptoms of potential infection and recommendations for monitoring are provided. Your school medical director should approve this form.

Sample Resources Below should be reviewed and approved by the School Medical Director and/or BOE prior to use.

Allergy|Anaphylaxis Care Plans

AAP Allergy and Anaphylaxis Emergency Plan (Updated 3/2019)

FARE Food Allergy ECP in both English and Spanish (5/2018)

Asthma Care Plans and Action Plans (AAP)

Asthma Action Plan-NYSDOH (5/2017)

Sample Emergency Care Plan for Unlicensed School Personnel: ASTHMA  (3/2017) Provides easy-to-understand information for unlicensed school staff to assist and respond to an asthma emergency.

Sample Letter to Families about Metered Dose Inhalers, Spacers and Nebulizers Provides information on why an MDI and Spacer is preferable over a nebulizer during the COVID Pandemic (NYSCSH 9/2/20).

Sample Provider and Parent Guardian Permission for the use of School Provided Spacer/Valved Holding Chamber Provides schools the opportunity to provide a back-up spacer in the event that the student's is not available. (7/7/20)

Diabetes Medical Management Plans (DMMPs)|Addendum to Allow  HCP Provide Criteria for Parents Input on Insulin Dose

DMMP from the Diabetes in Children pages 82-86 provided by NYSDOH. (11/2018)

Effective tools for successful diabetes medical management  
Here you will find a sample Diabetes Medical Management Plan, a sample template for an Individualized Health Care Plan, and sample Emergency Care Plans for Hypoglycemia and Hyperglycemia.

The National Institute of Diabetes and Digestive and Kidney Diseases.   
Additional FAQs, as to who can carry out a Diabetic Emergency plan within a school system, how long do they last, etc.

DMMP Addendum: Role of Parents/Guardians in Adjustment of Insulin Dose
Allows the HCP to provide criteria by which the parent may be consulted in adjusting insulin doses administered by a nurse during school hours and at school-sponsored events, to the extent reasonably practicable. 5/2017 Note: HCP orders only allow the parent to provide proposed adjustments or dosages and require the health care professional to make the ultimate decision after exercising his/her professional judgment. 

Math Calculation Checker Worksheet for Insulin Deviation
This worksheet may be used to verify that math calculations performed by the RN are correct. (9/2017)

Diabetes Hypoglycemia|Hyperglycemia Plans

Hypo and Hyperglycemia Chart for School Staff - Excerpted from NYSDOH Diabetes in Children with the permission of the NYSDOH. (1/2016)

Hypoglycemia Sample Emergency Care Plan (NYSCSH, 10/4/17)

Hyperglycemia Sample Emergency Care Plan (NYSCSH 10/4/17)

Glucagon Training Documentation Form for School Personnel  Documents understanding and skills attainment for staff voluntarily administering glucagon for students with patient-specific orders.  This form is also available with the PPT training program on the NYSCSH Glucagon page.

Diabetes Sample 504 Plans

Model 504 Plan from the American Diabetes Association -(PDF 07/24/12)

JDRF School Advisory Toolkit.pdf - Contains information on Section 504, Legal Rights of the Child, common 504 Plan questions, and references. (JDRF, 2014)

Generic Sample Care Plans and Other Emergency Documentation for Students and Staff

Sample Generic Emergency Care Plan for Unlicensed School Personnel (5/16) Information for unlicensed school staff to assist with emergency health issues. 

Special Health Care Needs Record  May be used to document student health concerns, provider|parent permissions, medications, and ECP (9/12)

Sample Emergency Care Flow Sheet - School Nurse documentation form

Sample Emergency Care Flow Sheet for Staff - School Nurse documentation form 10/2017

Sample Faculty/Staff Emergency Contact Information - Documents emergency contact information for staff

Sample Individual Health Care Plan (8/2018)

Seizure Sample Care Plans | 504 Plans | Interview Questionnaire for Seizure History

Diastat®/Seizure Preparedness Plan - Links to Diastat™ website. Provides resources and information for creating a seizure emergency plan.

Seizure Emergency Care Plan - Provides information for emergency management in both English and Spanish (Epilepsy Foundation, 2010).

Seizure ECP - Customizable template for the HCP to document type of seizure and treatment plan.  Separate medication order would be needed. (NYSCSH, 6/2012)

Seizure ECP with Medication Information - Customizable template for HCP to document response plan for seizures.  Includes area for medication and Vagal Nerve Stimulator orders. (NYSCSH, 9/2012)

Parent Interview Questionnaire for Seizure History - Documents seizure history, medications, and current understanding of the condition (NYSCSH, 6/2012)

Seizure Observation / Recording Form which can be used to record seizures. They include calendars, diaries, and logs from Epilepsy/com

504 Plan - Sample plan from Epilepsy.com

Sample Students With Special Health Care Needs Record
May be used to record students' health care concern, medication and emergency care plan status (2/2021).

Page updated 9/16/21

FERPA Disclosure Log - Documents student health records viewed by non-health office staff (8/12)

Health examinations are required for new entrants and in grades Pre-K or K, 1, 3, 5, 7, 9, and 11.
(Section 136.3 Health Examinations and Screenings. Effective 7/1/18)

School Health Examination Form and Instructions for an EHR Compatible Form

Required NYS School Health Examination Form
This form may be printed and completed by hand. (NYSED 2020)

Required NYS School Health Examination Form (Fillable PDF) 
This form may be completed electronically by saving it to your computer, entering the information into the fillable fields, and saving a copy for each student (NYSED 2020).

Instructions for Completion of the New York State School Health Examination EHR Compatible Form 
Provides direction to health care providers on the required components and the required presentation order of those components for an electronic health record form to be an equivalent form. (NYSED 2020) Posted 1/28/21

School Health Examination Form Sample Resources

Instructions for School Nurses and School Medical Directors Related to Completion of the Required Health Examination Form Effective 1/31/2021. Contains instructions for school nurses and school medical directors and customizable, sample notifications for parents/guardians and community health care providers reminding them of the need to use the required form. (NYSCSH 1/28/21)

Required NYS School Health Examination Form FAQ's  Provides answers to questions the Center has received regarding use and completion of the form. (NYSCSH 1/28/21)

Interval Health History Forms may be modified by local school districts. If modified, it should be reviewed and approved by the School Medical Director and Administration prior to use.

Sample Recommended NYSED Interval Health History for Athletics (Fillable PDF)  Completed by parent/guardian no earlier than 30 days prior to the start of the sport. This form now includes questions related to COVID-19 (Updated, 12/2020) 

Sample Recommended NYSED Interval Health History for Athletics (Word)  Completed by parent/guardian no earlier than 30 days prior to the start of the sport. This form now includes questions related to COVID-19 (Updated 12/2020)

Spanish Sample Recommended NYSED Interval Health History for Athletics (Word) (Updated 1/2021)

Medical Certificate of Limitations Form

Sample Recommended Form-Medical Certificate of Limitations  Used to document private provider recommendations for accommodation for PE. (Updated 05/2018)

Sample Athlete with Disabilities Form-This resource from the American Academy of Pediatrics may be helpful in collecting additional health information from athletes with disabilities. (AAP-Bright Futures, 2019)

Sample Athlete with Special Needs Supplemental Form  American Academy of Family Physicians, American Academy of Pediatrics, American College of Sports Medicine, American Medical Society for Sports Medicine, American Orthopaedic Society for Sports Medicine, and American Osteopathic Academy of Sports Medicine.PDF (2010)

Sample Medical History Update Form  Optional form that may be used to obtain current health information from the parent/guardian in non-mandated health examination yeas or to provide student history prior to a school-provided physical exam (2/2018) 

Health Exam and Screening Requirements Charts|Determination for Ungraded Students

NYS & NYC Screening & Health Examination Requirements Chart (7/1/2018).

Chronological Age/Grade Chart (NYSCSH, 6/23/21)

Dental Certificate|Dental Providers|Letter to Parents/Guardians Regarding Dental Exams

NYSED List of Dental Providers Offering Free or Reduced Care (4/28/2017)

Sample Dental Certificate-NYSED   This form aligns with health exam grade levels. NYS law (Chapter 281) permits schools to request an oral health assessment when requesting a health exam. It may be completed by a registered dentist or NYS registered dental hygienist.

Letter to Parents Regarding Health and Dental Examination Requirements    Informs parents/guardians of the mandated requirements for health appraisal within 30 days of school entry (5/12/21).

Sample Parent Notification/Request for Mandated Health Appraisal and notification of medical director providing health appraisal if not provided by the private health care provider (1/9/20)

School Medical Director Delegation Statement 

Sample Individual Student Health Office Visit Record (8/2012) 

Sample Student Cumulative Health Record (8/2019)

Sample Student Daily Visit Form- Aids school health personnel in tracking follow-up on student visits to the health office. It is available in landscape and portrait and is customizable. (1/2018)

Sample Students With Special Health Care Needs Record - May be used to record students' health care concern, medication and emergency care plan status (2/2021).

Page Reviewed 6/30/21

These letters are provided as guidance based on current best practices. They do not constitute a mandate nor imply liability should the school choose other options.  These sample resources may be modified for your use consistent with NYSED, local district policy, and school medical director guidance.

Animals in the School Building

Sample Parent Letter - Animals in the Classroom

Sample Permission Form - Animals in the Classroom

Food in the School Building

Classroom Treats - This is a general letter that should be altered to align with your district’s policies on classroom treats (some districts only allow pre-packaged snacks, some allow home-baked goods). This is a template only and does not reflect any state guidance or recommendations.

NYSCSH Notification Poster What You Say In Here Stays in Here

What You Say In Here Stays In Here - This 8.5 X 11-inch printable poster can be printed and displayed to make students aware of school staff members' responsibility to share information that could result in harm of self of others according to school policies (NYSCSH 10/2017). 

Page Reviewed 7/1/21

Per the NYSDOH notification on 8/28/20: Children entering or attending school in New York State, including summer school and distance learning, must comply with immunization requirements.

Please see Care Plans (AAP, ECP. DMMP) | Diabetes Addendum | Flow Sheets | IHP, 504 for additions forms related to Medication.  

Administration/Use Tracking Forms

Daily Medication Record School Year (Excel format) - Calendar view of medication charting for an individual student modifiable for your school district. (6/2018)

Dose Counting Daily Medication Record (Excel format) - Calendar view record of medication administration which provides a continuous count of medication given and medication remaining. (7/2018)

Dose Counting Daily Medication Record  School Year (PDF format) - Calendar view record of medication administration which provides a continuous count of medication given and medication remaining. (7/2018)

Daily Medication Sheet For Summer School - July and August calendar view of medication charting. (7/2018)

Monthly Medication Administration Record (Medicaid Compliant) - Records date, times, doses, exception codes, reactions, Medicaid compliant signature boxes, and NPI number. (7/2017)

Administration Authorization / Permission Forms

Administration of Medication at School-Parent/Guardian & Health Care Provider Permission to Administer Medication - Documents provider order & parent permission for medication use at school. It does not indicate allow permission for the student to carry and use the medication independently. Additional permission from the provider and parent for Independent Medication Carry and Use must also be completed for that to occur (3/2019)

• Attestation Sample Form - This form may be used as an addendum along with provider order and parent/guardian permission for students to carry and use medications that require rapid administration. (9/2017) 
• Attestation: Sample Letter to Parents/Guardians - Informs parents and guardians about the attestation requirements (9/2017)

Diabetes Medical Management Plan Addendum: Role of Parents/Guardians in Adjustment of Insulin Dose Documents provider permission to allow parents/guardians to adjust the insulin dose. (5/2017)

Sample Provider and Parent Guardian Permission for the use of School Provided Spacer/Valved Holding Chamber - Provides schools the opportunity to provide a back-up spacer in the event that the student's is not available. (7/7/20)

Sample Sunscreen Parent Permission for students who can independently apply or with adult assistance to help apply their own or school provided sunscreen.

Determining Who Can Administer Medication and Students Capability

Levels of Assistance in Administering Medications Guide- Provides guidance in determining how may and may not administer medications in school and how to determine who may do so. (Updated 9/2019)

Diabetes Medication Forms

Blood Glucose / Insulin Log for Individual Students  (NYSDOH Guide-Page 94)

Diabetes Medical Management Plan Addendum: Role of Parents/Guardians in Adjustment of Insulin Dose Documents provider permission to allow parents/guardians to adjust the insulin dose. (5/2017)

Field Trip Forms

Field Trip Medication Record for Licensed Professionals Administering Medication- Documents medication delivery by licensed professionals for students on field trips. (12/2016)

Field Trip Medication Record for Unlicensed Professionals Assisting Self-Directed Students with Administration of Medication - Documents medication taken by students supervised by unlicensed professionals on field trips. (12/2016)

Parent/Guardian Permission for Field Trip Attendance and Medication Delivery - Documents field trip information and parent/guardian permission for the administration of medications. Provider attestation must be included for independent medication use.

School Checklist for Medications on Field Trips - Checklist of responsibilities regarding medication administration on field trips for the School Board/Administration, School Nurse/District Personnel, Parent/Student. Includes options for the provision of medication to students who require medication on field trips.  (12/2016) 

Sample Field Trip Notification with Information for Parents on Insect Repellents (NYSCSH 5/2018)

Parent/Guardian Medication Communications & Notification

Sample Medication Delivery Information for Parents- Provides information for Parents/Guardians on what is needed to administer medications at school, including recommendations for a spacer for MDI use vs. nebulizer. (7/7/20)

Sample End of Year Pick Up - Medication pick-up information for end of year

Parent/Guardian Permission for Field Trip Attendance and Medication Delivery - Documents field trip information and parent/guardian permission for the administration  of medications

Parent/Guardian Designation to Authorize Another Adult to Administer Medication -  Document parent/guardian permission to authorize another adult to administer medication to their child for a specific event (Updated 1/2018)

Receipt Forms for Medications / Expiration of Medication Form / Documentation of Medication Errors

Receipt of Medication Delivered to School - Documents receipt of initial and subsequent medication delivery from parents.

Receipt of Medication Returned to Parent/Guardian - Documents the return of medication from the Health Office to the parent/guardian.

Expiration of Medication Recording Form - Documents student name, teacher/grade, medication name, and expiration date.

Medication Incident Report Form - Documents medication error, notifications made, and outcome.

Sunscreen

Sample Sunscreen Parent Permission for students who can independently apply or with adult assistance to help apply their own or school provided sunscreen.

Training & Self Determination Forms and Checklists

Checklist Training Unlicensed Personnel to Assist Supervised Students in Taking Their Own Medications - Checklist of training criteria for unlicensed assistive personnel to assist supervised (self-directed) students in taking their own medications (10/2015)

Nursing Assessment for Determination of Supervised (formerly Self-Directed) Student - This is a customizable version of the above document. This lists the steps to go through in determination of supervised student (10/2015)

Page Reviewed 7/1/21

POST RESTRAINT FORM

This sample form may be customized for your district's use in documenting student health status post restraint use. (8/17)

 Page Updated 5/6/21

Emergency Care Data Collection (NYSCSH)

The following data collection is being done on a voluntary basis.  This is not mandated, but data collection is important to demonstrate the response of the school nurse in a medical emergency, to help advocate for staffing needs, create policy and programs, and create a healthy and safe environment.  Please complete the following forms if the emergency medication or treatment listed is used:

• AED Administration Sample Reporting Tool 
• Concussion Injury Sample Reporting Tool 
• Diastat Administration Sample Reporting Tool 
• Epinephrine Administration Sample Reporting Tool 
• Glucagon Administration Sample Reporting Tool 
• Opioid Overdose Prevention Sample Reporting Tool 

*Note: All naloxone use should be reported in accordance with district policy utilizing the NYSDOH Reporting Form located on the NYSDOH website.  Click here for the form

Health Data Documentation and Tracking Forms:

Beginning of School Checklist for the Professional School Nurse - List of tasks for the beginning of the school year.

End of School Checklist for the Professional School Nurse - List of tasks for the end of the school year.

Class Screening Record Log (Word) - Tracks vision, hearing, height, weight, and scoliosis by teacher/class.

Class Screening Record Log (Excel) - Tracks vision, hearing, height, weight, and scoliosis by individual students. 

Data Collection Calendar for Secondary School Nurses (can be customized) 

Data Collection Calendar for Elementary School Nurses (can be customized)

Student Daily Visit Form- Aids school health personnel in tracking follow-up on student visits to the health office. It is available in landscape and portrait and is customizable. (1/2018)

Students Healthcare Needs Tracking Form - Customizable chart to list health concerns, orders, medications, ECP status, and notes. (NYSCSH, 2/2021)

School Nurse Weekly Worksheet (Excel)

School Nurse Monthly Activities Recording Form 5/11/20 

Health Office Visit Data Collection Tool

Sample School Health Office Data Collection Tool - Customizable, easy-to-use documentation tool to collect data on school health care staffing, student health data, vision & hearing deficits, and student outcomes. (5/5/21)

School Nurse Responsibilities | Checklists | Monthly Overview of Tasks:

Nursing Monthly Responsibilities

Nursing Quarterly/Semiannual Responsibilities

Nursing Annual Responsibilities

Page updated 7/1/21

SCREENING FORMS, CHARTS

New NYS & NYC Screening & Health Examination Requirements Chart- Dental certificate requests should align with the new health exam grade levels (7/2018) 

Letter to Parent Regarding Required Screening for Vision, Hearing, Scoliosis, Health Examinations. (12/2018)

HEARING

Hearing Screening Parent/Guardian Notification Results and Referral Form (5/2018)

Sample Classroom Teacher Observations- Hearing (5/2018)

SCOLIOSIS

Scoliosis Screening Parent/Guardian Notification Results and Referral Form(5/2018)

VISION

Vision Screening Parent/Guardian Notification Results and Referral Form (10/2018)  
Note: Parents must be notified of both passing and failing vision results. If a student passes it is sufficient to just indicated passed. However, if they fail you should provide the findings so the follow-up provider has a frame of reference. This form allows you to provide that information.

Sample Classroom Teacher Observation - Vision (5/2018)

Page Reviewed 10/1/21

Sample Faculty/Staff Emergency Contact Information - Documents emergency contact information for staff

Sample Emergency Care Flow Sheet for Staff - School Nurse documentation form 10/2017

Physical Examination Report for New Employees - Documents physical exam/certificate of fitness for employment for school employees

Page Reviewed 6/29/21