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2020 - 2021 Maria Regina HS Student Health Forms

Back to School Health Forms for 2020-2021 School Year

ALL health forms mentioned below can be found on our Health Office page.

Freshmen, Class of 2024
ALL FRESHMEN must upload an updated physical exam/NYS Health Examination Form, Dental Health Form and Immunization Record that is dated NO EARLIER than 9/1/19 to FamilyID.  Please upload all health records NO LATER THAN 9/1/2020.
Incoming Freshman Health Packet

Sophomores, Class of 2023
There are no state requirements for Sophomores, however, all medications and athletic sign-ups will require an updated Authorization for Administration of Medication in School form and an updated NYS Health Examination form. All documents must be dated NO EARLIER than 9/1/19. 
2020-2021 Student Health Packet

Juniors, Class of 2022
All Juniors are state mandated to turn in an updated NYS Health Examination Form, Dental Health Form, and Immunization Record.  All documents must be dated NO EARLIER than 9/1/19. 
2020-2021 Student Health Packet

Seniors, Class of 2021
All seniors must provide proof from your physician of having received the 2nd dose of the meningococcal vaccine, (MenACWY/MCV4), in order to start school.
2020-2021 Student Health Packet

Important Medication Information for ALL students 

Authorization for Administration of Medication in School
Prescription medications and over-the counter medications such as Tylenol, Motrin, Advil, Benadryl and Tums that are to be given out during the school day by the school nurse require an updated Authorization for Administration of Medication in School Form to be filled out by a parent/guardian and signed by a physician as well as a physician’s order.  Hard copies of these forms must be turned in to the Health Office.  New/updated forms are required from year to year.
Administration of Medication in School Form

Please note: These medications must be brought to the Health Office in the original package and/or in the properly labeled original container from the pharmacist; They will be left in the Health Office.

Self Medication
All students who carry their own EpiPens, inhalers, and diabetic medications, are required to have a new Self Medication Authorization Form that is filled out by a parent/guardian and signed by a physician. New/updated forms are required from year to year.  Please upload this completed form to FamilyID.
Self Medication Authorization Form

Fall Athletics
All prospective Fall athletes must register for all sports via FamilyID and upload their current physical exam NO LATER THAN 8/1/2020.

Sections
Freshman - May 01, 2020 to June 01, 2021
Sophmore - May 01, 2020 to June 01, 2021
Junior - May 01, 2020 to June 01, 2021
Senior - May 01, 2020 to June 01, 2021
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