Health Forms

Please complete the following forms that pertain to your child(ren) and return them to the Health Office as soon as possible. For questions, call 516.371.4747 ext. 305.

New York State Immunization Requirements for School Entrance for the 2022-2023 School Year

New York State Immunization Requirements 22-23

Medical Forms:

Brandeis - Dental Health Certificate
Brandeis - Med. Permission N2 Only
Brandeis - Sports Participation Form Post COVID-19
Brandeis- Non Medication N2 Only
Brandeis - Dental Health Certificate 2022- 2023
Brandeis - Emergency Info & Authorization Form 2022-2023 (1)
Brandeis - Med. Permission N3 - 8th 2022- 2023
Health Examination Form 2022-2023
Vaccine Administration Record 2022-2023

Emergency Care Plans

Bee Sting Allergy - Emergency Care Plan
Food Allergy - Emergency Care Plan
Latex Allergy - Emergency Care Plan
Asthma - Emergency Care Plan
Diabetes - Hyperglycemia - Emergency Care Plan
Diabetes - Hypoglycemia - Emergency Care Plan
Seizure Action Plan - Epilepsy Foundation

Concussion Management Information:
https://www.cdc.gov/headsup/parents/index.html

New York City Immunization Requirements for School Entrance for the 2020-2021 School Year

NYC form