Forms for Parents and Physicians - Health Forms used in the Pittsford Central School District
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Below are forms which you may find useful in providing medical updates/information for your child. Forms may be printed and then completed. Please contact the MCE Health Office if you have any questions regarding completion.
Health Office Forms and Documents
- 7th and 12th Meningococcal Vaccine
- Asthma Action Plan 7521F.7
- Asthma Questionnaire
- Dental Health Certificate
- ECP and Anaphylaxis Questionnaire
- ECP and Diabetes Questionnaire
- ECP and Seizures Questionnaire
- Health Exam Form (2 sides) 2020
- Health Information Form
- Letter about Required Health Documentation
- NYS Required Immunizations K-12
- Permission to Administer Medication Form
Related Files
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Lactose Accommodation Form
This form can be used to document your child's need for medication or dietary accommodations due to Lactose Intolerance.