Nurse

• Return to Athletics After COVID-19 - Updated June 1, 2022
• Asthma Action Care Plan
• Dominic Murray Parent - Guardian SCA letter
• Bee Sting Medical Authorization
• Food Allergy & Anaphylaxis Emergency Plan English | Spanish
• Medical Authorization Form
• School Health Examination Form with Dental Health Certificate
• Seizure Emergency Care Plan
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All Students:

Physical and dental health exams from health care providers are required for students entering grades K, 1, 3, 5, 7, 9, and 11 and new entrants. Download forms below:

• NYS School Health Examination Form including Dental Health Certificate.
• Important Information concerning  Physical Exams for students.  
• The Student Health Inventory Form should be filled out by parents / guardians each year and submitted to the school nurse in the first week of school.
• NYS Immunization Requirements 2022-2023.                         
• NYS Screening Overview Chart.
• Seizure Disorder-Emergency Care Plan Form.

Food

If your child has food allergies, please fill out the Food Allergy and Anaphylaxis Emergency Care Plan in English or in Spanish. Please return it to the school nurse.

If your child is allergic to any nuts, please fill out the Nut-Free Table Form and return it to the school nurse.

If your student self carries medication for allergies, please fill out the Independent Medication Carry and Use Form.

Bees

If your child has an allergy to bees, please fill out the Bee Sting Medication Form.

To comply with NYS Medication Guidelines, school nurses are not permitted to dispense ANY medication to students without an order from your child's physician. This includes all over-the-counter medications such as Tylenol, Motrin or Advil, allergy medications (Benadryl), cough drops as well as asthma inhalers.

Please have your child's physician complete a medication authorization form for each medication to be given. 

• Medication Information for the 2022-2023 School Year                                                                            
• Medication Administration Order Form
• Asthma Action Care Plan
• Independent Medication Carry and Use Form

A parent must deliver the medication in the original, correctly labeled pharmacy container to the school office or nursing office personnel.

It is essential to call your child in each day he or she is absent or late, even if it is weather related.

Parents are required to provide a written excuse each time a child is absent or late. The note should be sent with the child when he or she returns to school.

To report an absence, call the numbers below or email your school nurse directly.  

• Hawthorne — 769-5500 x4700
• Columbus —   769-5500 x 3700
• WMS/WHS —  769-5500 x 1507 (attendance office)

Working Papers

The completed application, any necessary forms and questions should be emailed to Mary Jane Au, High School Nurse, at mau@mtplcsd.org or please call (914) 769-5554.

• Lice 101 for Parents
• Lice 101 for Parents - Spanish 

Changes to the NYS Education Law require Doctors to include BMI (Body Mass Index) and related Weight Status Category on the mandated School Physical Exams. BMI and Weight Status Category are based on your child’s current height and weight. 

The Weight Status Category provides us with information regarding your child’s BMI-for-age percentile, for example, less than 5th percentile, 25th percentile, 50th percentile, etc. This information allows us to know if your child’s weight is in a healthy range.

NYS Department of Health mandates our district to take part in a BMI/Weight Status Category Survey. We will not be submitting any personal student information on the survey. Names will be withheld. We will only be sending tallied Weight Status Category information which will help health officials develop programs that make it easier for children to be healthier.

You may choose to have your child’s information excluded from this survey report. If you do not wish to have your child’s Weight Status Category included, please complete the form below and return it to the Nurses Office by December 1st. If the form is not returned, your child will be included in the survey.

• Body Mass Index Opt Out Letter
• Body Mass Index Opt Out Letter in Spanish