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Fillmore Central School

Enter to Learn, Go Forth to Serve.

Health Office Forms

The Following forms can be copied and brought to your child's Health Care Provider throughout the school year# This will allow us to be up to date on any health issues your child may have# Please return these forms to your child's school nurse.

Medication Permission Form

Permission for students to receive medication at school

Over-The-Counter Medication Permission Form

Permission for students to receive Tylenol, Advil, topical cream, etc.

Health Certificate (physical) Form

This form can be used for annual school physicals# Physicals are required for new entrants, Pre-K, K, 1st,3rd, 5th, 7th, 9th, 11th graders.

Dental Health Certificate Form

NEW! NYS requests dental certificates for students in grades Pre-k, K, 1st, 3rd, 5th, 7th, 9th, 11th graders.

Physical Education Medical Form

NYS requires all students to attend regular or adaptive physical education. If your child will need to be out for more than two days, please take this form to your child's physician to be completed.

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