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, contact Mrs. Ieraci at 516.371.4747 ext. 305.

New York State Immunization Requirements for School Entrance for the 2019-2020 School Year

Brandeis 2019-20 School Year New York State Immunization Requirements

Medical Forms:

Brandeis - Emergency Info & Authorization Form
Brandeis - Health Examination Form
Brandeis - Immunization Form
Brandeis - Dental Health Certificate
Brandeis - Sports Participation Form
Brandeis - Medication Permission Request Form (Nursery 3-8th Grade)
Brandeis - Medication Consent Form (N2 Daycare Only)

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 State Immunization Requirements for School Entrance for the 2019-2020 School Year

Brandeis - NYC Form