504 Accommodations
Guidelines for the Provision of Health Services and/or Section 504 Accommodations
General Medication Administration Form (School Year 2020 - 2021)
Request for the Provision of Medically Prescribed Treatment (Non-Medication) for School Year 2020 - 2021
Parent Request for Section 504 Accommodations with HIPAA Authorization Form (School Year 2020 - 2021)
Medical Accommodations Request Form (School Year 2020 - 2021)
Parent Letter – 504 Accommodations New Students
Parent Letter – 504 Accommodations Reauthorization
Notice of Non-Discrimination under Section 504
504 Accommodation Plan Template
Remote Learning Addendum to Section 504 Plan
Pre Signature Plan Letter
Diabetes 504 Accommodation Plan Template
504 Team Meeting Scheduled Letter
504 Team Meeting Attendance
504 Accommodations Student and Family Guide
504 Coordinator Training
Notice of Eligibility Determination
Authorization for Release of Health Information Pursuant to HIPAA (School Year 2020 - 2021)
General
Medical Room Standards
CH205 Child Adolescent Health Examination Form
New Admission Examination Notice, with FAQ
New Admission Examination Appointment Notice, with FAQ
Health Insurance Information in ATS
OT/PT Medicaid Principal Protocol letter
OT/PT Parent Notification Letter
AED
Health Director Contacts
The Facts about Head Lice
Lice Policy Memo
Individual Lice Letter
Class Lice Letter
School Based Health Center Parental Consent Form
School Flu Letter for Parents
Flu Information for Parents
Travel Health Factsheet for Parents
Allergy and Asthma
Parent Letter for Guidance for EpiPen Shortage
Allergies/Anaphylaxis Medication Administration Form (School Year 2020 - 2021)
Allergy Response Plan
Medical Review of Student with Severe Allergies
Standing Order for Administration of Epinephrine for Nurses
Training Program for Unlicensed School-Personnel to Administer Epinephrine
Asthma Medication Administration Form (School Year 2020-2021)
Diabetes
Diabetes Medical Administration Form Reauthorization Letter (School Year 2020 - 2021)
Diabetes Medication Administration Form (School Year 2020 - 2021)
Diabetes Team Support Request Form
Immunization
Parent Letter for Students not Fully Immunized, October 2019
Principal Letter for Immunization Policy Update, October 2019
- English
- Additional Frequently Asked Questions About School Vaccination Requirements from New York State Department of Health
Principal Letter for Immunization Policy Update, June 2019
- English
- You can also view the Frequently Asked Questions About Legislation Removing Non-Medical Exemptions from School Vaccination Requirements from New York State Department of Health
Parent Letters, Policy Change, for Warnings and Exclusions
Please see the family site for all updates on Immunization Exceptions.
Letter to Parent - Non-immunized Student Marked Absent
SH89 Warning Notice
Arabic, Bengali, Chinese, English, French, Haitian Creole, Korean, Russian, Spanish, Urdu
SH88 Notice of Exclusion
Arabic, Bengali, Chinese, English, French, Haitian Creole, Korean, Russian, Spanish, Urdu
Immunization Chart for Families
- Arabic, Bengali, Chinese, Simplified Chinese, English, French, Haitian Creole, Korean, Russian, Spanish, Urdu, Yiddish
Immunization Guidelines for Schools
SH65 Medical Immunization Requirements
Medical Exemption Process for Immunizations
Medical Request for Immunization Exemption
Request for Review of Serology or Documentation of Varicella Disease
Serology Review Process
Guidelines for Entering Student Immunizations into ATS
Mental Health
Mental Health Resource flyer
Suicide Prevention Flyer
Mental Health First Aid Handout
"There's Help All Around You" flyer
Oral Health
School-based Health Center Dental Policy and Procedures
Dental Referral Form
Dental Visit Prep
Picking a Dental Provider
Picking a Dental Space
Starting an Oral Health Program
Columbia DentCare Consent Form
Ezra Medical Consent Form
First MedCare Consent Form
NY Foundling Consent Form
NYU College of Dentistry Consent Form
NYU Langone Consent Form
Smile NYC Consent Form
St. Barnabas Consent Form
Seizure
Seizure Medication Administration Form 2020-21
Sexual Health
Sexual Health Education Parent Notification Letter
HIV/AIDS Lessons Opt Out Letter for Parents
HIV/STI Prevention and Birth Control Opt Out Letter for Parents
Sports
Sports History Form and Recommendation for Participation in Physical Education and Sports
Substance Abuse
Drug Myths and Facts
Frequently Asked Questions (FAQ): E-cigarettes
Vision
Eye Report and Recommendation Form (E12S)
Vision Screening Policy Statement
Vision Screening Handout
- Arabic, Bengali, Chinese (traditional), English, French, Haitian Creole, Korean, Russian, Spanish, Urdu
Vision Screening Letter to Parents
- Arabic, Bengali, Chinese (traditional), English, French, Haitian Creole, Korean, Russian, Spanish, Urdu