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Lynbrook Public Schools

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Health Forms

Health Forms

New York State law requires a health examination for all students entering the school district for the first time and when entering Pre-K or Kindergarten, 1st, 3rd, 5th, 7th, 9th and 11th grade. The examination must be completed by a New York State licensed physician, physician assistant or nurse practitioner and recorded on the approved NYSED Student Health Examination Form for School. A dental certificate which states your child has been seen by a dentist or dental hygienist is also asked for at the same time.

• A copy of the health examination must be provided to the school within 30 days from when your child first starts at the school, and when your child starts Pre-K or K, 1st ,3rd, 5th, 7th, 9th & 11th grades. If a copy is not given to the school within 30 days, the school will contact you.

• If your child has an appointment for an exam during this school year that is after the first 30 days of school, please notify the Health Office with the date.

• For your convenience, a NYS physical exam form and dental certificate can be found on the District website under Athletics tab. Follow the links under Athletics Forms.

• Communication between private and school health staff is important for safe and effective care at school. Your healthcare provider may not share health information with school health staff without your signed permission.

Please talk to your provider about signing their consent form for the school at the time of your child’s appointment for the examination. We suggest you make copies of the completed forms for your own records before sending them to the school health office. District Health office numbers are listed below.

High School 887-0228

South Middle 887-0273

North Middle 887-6585

Marion 887-0296

Waverly Park 887-6587

West End 887-6570

Kindergarten Center 887-8077

We appreciate your time in collaborating with us to provide your child with the proper documentation as required by NYSED Law

 

Below are several of the key forms students and parents may need: