• The forms and notifications are provided as guidance based on current best practice.  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. 

  • Athletics

    Physical Examinations, Recertification form and other forms necessary for Interscholastic Sports

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  • Care Plans | Flow Sheets (AAP, ECP. IHP, 504)

    Sample Care Plans, Emergency Plans, Action Plans and 504 plans for anaphylaxis, asthma, diabetes, seizures and other emergency conditions requiring immediate response,emergency flow sheets for both school nurses, unlicensed staff.

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  • FERPA

    Forms necessary to comply with FERPA

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  • Health Promotions | Safety

    Contains letters to parents regarding animals in the school setting, classroom treats, summer newsletters, letter to graduating seniors, etc.

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  • Health | Dental | Screenings Forms, Charts, Letters

    Forms necessary for school health professionals to document physical examination, dental examinations, screenings and communication with parents

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  • Illness | Communicable Disease | Injury

    The forms and notifications in Sample Forms and Notifications are provided as guidance based on current best practice. 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.

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  • Immunizations

    These forms and notifications are provided as guidance and are based on current best practice. 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

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  • Medicaid

    Sample Documentation Forms for Medicaid Reimbursable Services
    Includes spaces for NPI and ICD numbers.

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  • Medication

    These forms and notifications are provided as guidance abased on current best practice. 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

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  • School Health Office Data Collection and Responsibilities

    Beginning/ending nursing checklist, screening records, monthly/weekly/annual nursing tasks/activities worksheets

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  • Staff Forms

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Last Modified on Monday at 3:56 PM