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Health Forms & Care Plans

Health Forms

Annual Health Exam Form

2023-NYS-Health-Exam-Form_Page_1

 

Medication Administration Form
Provider and Parent Permission to Administer Medication at School/School Sponsored Events form

 

Medication Parent Designation Form

 

Medication Self Carry Form

Provider parent self carry attestation

 

Medical Assistive Device Permission Form

medical device permission form

Care Plans

Asthma Action Plan

NYS Asthma Action Plan

 

Seizure Action Plan

Seizure Action Plan

 

New York State Department of Health Diabetes Medical Management Plan

NYSDOH Diabetes Medical Management Plan

 

Allergy and Anaphylaxis Emergency Plan (Nut Free Table)
Allergy and Anaphylaxis Emergency Plan, Nut Free Table page