Nurses' Office/Health Forms

  • Centereach Health Office

        Gail Breslin, RN
        Keri Mirabella, RN

    Office -285-8133/8134
    Fax # - 285-8198
    See Below for Links to Health Forms

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    *IMPORTANT NOTICE FOR ALL STUDENTS ENTERING 7TH & 12TH GRADE
    in September 2018 
    REGARDING ADDITIONAL REQUIRED IMMUNIZATIONS
    SEE MENINGOCOCCAL VACCINE NOTIFICATION ON HEALTH FORMS TAB

    *STUDENTS MUST HAVE A PASS TO COME TO THE NURSE'S OFFICE*

    Please report all school injuries to the nurse.  All gym excuses and hall passes will be issued by the nurse with an accompanying note from the student's physician.

    EMERGENCY CONTACT CARDS

    An updated contact card is required each year.  Please update any changes in phone numbers, guardians or employment when they occur.  Central Registration must also be contacted so that your information is updated in the school-wide computer system.

    Immunizations

    All students must have the following immunization to attend school:

    Diphtheria toxoid-containing vaccine, Tetanus toxoid-containing vaccine and Pertussis vaccine (Dtap): 3 doses (only need a minimum of 3 to get into school).

    Polio - 3 doses

    MMR-2 or 2 doses measles and 1 dose MMR

    Hepatitis B - 3 doses

    Varicella - 2 doses

    TDAP Booster at age 11 or 6th grade

    Administration of Medications in School

    In order to administer medication to your child during school the attached form must be completed and signed by your physician.  A parent must also sign the form. See Health Forms Tab.

    Physicals

    9th and 11th graders and ALL NEW ENTRANTS are required to have state mandated physicals.  These physicals must be performed within 30 days of the start of the school year.  Any student who does not have the mandated physical will be excluded from school. See Health Forms Tab.

    Sports Physicals

    Any student wishing to participate in sports must have a YEARLY sports physical and PERMISSION SLIP for each sport.  Sport permission slips and physical permission slip forms are on the Middle Country Athletic Dept. website.  Permission slips must be completed and signed by a parent or guardian.  The school physician performs sports physicals three times a year prior to each sports season. See Health Forms Tab