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Authorization to Disclose Medical Information
To allow RN to communication with Students provider regarding health concerns.
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Health Examination/Physical Form
NYSED requires a physical exam for new entrants and students in Grades Pre-K or K, 1, 3, 5, 7, 9 & 11; annually for
interscholastic sports; and working papers as needed; or as required by the Committee on Special Education (CSE) or
Committee on Pre-School Special education (CPSE). -
Health History Form
For new students entering the district, including Prek, Kindergarten- This is NOT for sports.

