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Health Office Information and Forms

 

Any questions, please call the MS/HS Health office at 277-5115/5215

 

 

Information and Forms

 

MS/HS Health Office Information Letter

2020-2021 Immunization Requirements

2019-2020 Immunization Requirements (Spanish)

Meningitis Vaccine Requirements

Meningitis Vaccine Requirements (Spanish)

Health Certificate (Physical/Appraisal Form)

Dental Health Certificate

Health History Form

Health History Form (Spanish)

Student Use of Medication During School Hours General Information

Authorization for Medication to be Taken During School Hours

Authorization for Medication to be Taken During School Hours (Spanish)

Food Allergy Allergy Action Plan (F.A.R.E.)

F.A.R.E. (Spanish)
Food Allergy Health History

Diabetes Individual Health Care Plan

Emergency Care Plan - Hypoglycemia

Emergency Care Plan - HyperGlycemia

Seizure Disorder Emergency Care Plan

Seizure Action Plan

Seizure Action Plan (Spanish)

A Flu Guide for Parents from the Center for Disease Control

Flu Guide (Spanish)


Application for Employment Certificate Procedure (Working Papers)

Employment Certificate Application (Working Papers)

*see below for information on obtaining working papers during the school closure

Child Model Employment Application

 

*Working Papers:

During the period of school closures due to COVID-19, we are still able to issue working papers. Parents/guardians and minors can complete the application form by clicking on the fillable PDF version of the form: AT-17 Application for Employment Certificate. Please also note that this form allows you to submit a digital signature. Once you complete this form, please email it to Michelle Villa at mvilla@lvcsd.k12.ny.us. She will then schedule a video call with you to review the required documentation. Once finalized, the working paper card will be mailed to your home.