•  2018-2019 Health Examination Requirements with New Grade Levels

    New York State law requires that all new entrants and students in (Pre-K or K), 1st, 3rd, 5th, 7th, 9th & 11th grade, have a health examination by a New York State licensed provider. This examination must be provided to school within 30 days of entry into school or the grade levels indicated above.
    Acceptable health certificates may be dated anytime within the 12 months prior to the start of the 2018-2019 School Year. If a copy of the health examination is not on file within 30 days, you will be notified by the health office.
    We recommend that this examination be made by your family health care provider who knows your child best. During the doctor visit please check with your child’s physician if your child is due for any mandatory grade level immunizations. For your convenience, please find a revised New York State Dept. of Health physical form. Click below for: NYS SCHOOL HEALTH PHYSICAL EXAMINATION FORM . Starting in the 2019-2010 school year ALL physicians will be REQUIRED to use this new form to ensure consistency in gathering health information. However, for the 2018-2019 school year doctors are being encouraged to start using the universal form but school health offices are allowed to take any completed physical form.

    Also, suggested by the NYS Dept. of Health is to have your child’s dentist fill out a dental health certificate at their next visit. Click below for: DENTAL HEALTH CERTIFICATE FORM.
    Please return the completed physical and optional dental form to the health office or ask the doctor’s office to fax it directly to my office at (716) 699-5424. .
    If your child has a physical scheduled during the school year, please notify the Health Office with the date of the scheduled physical exam. If you have any questions, please call the Health Office at the number below.

    Karin Hager, RN
    Ellicottville Central School Nurse
    Office:(716) 699-2318
    Fax: (716) 699-5424

    Along with new students and grades Pre-K or K, 1, 3, 5, 7, 9 and 11 grade, physical exams are also required for athletic participants and for working papers. A physical exam will be done by our school physician in the health office unless you have contacted the office and stated your preference to have your child seen by their own physician. If such is the case, please have the physician fax the completed  form. Click below for : NYS SCHOOL HEALTH PHYSICAL EXAMINATION FORM to (716) 699 -5424. All middle/high school boys will be examined for the presence of a hernia. You may wish to discuss this with your son so he will know what to expect during the exam. Please know that all information is confidential and will be transferred onto the student’s permanent health record.
    As part of a required health examination, a student is weighed and his/her height is measured. These numbers are used to figure out the student’s body mass index or “BMI”. The BMI helps the doctor or nurse know if the student’s weight is in a healthy range or is too high or too low. These figures are included as part of the student’s school health record. Every other year school districts are required by New York State to submit information about our student’s weight status groups. Only summary information is sent. No names and no information about individual students are sent. You may choose to have your child’s information excluded from this survey report with a completed Click below for: OPT OUT FORM that is submitted to the nurse.

      Physical Form pg 1

     Physical form pg 2

     Dental Form

     Weight Status Parent Opt Out Form