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 - Med. Permission N2 Only
Brandeis- Non Medication N2 Only
Medication Permission N3-8th
Health Examination Form
Emergency Authorization Form
Athletics Form
Brandeis Dental Health Certificate
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
Seizure Action Plan
Diabetes HYPERGLYCEMIA Care Plan
Diabetes HYPOGLYCEMIA Care Plan

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