Health Services
Health Services Documents
Required NYS School Health Examination Form
Herkimer County Immunizations Clinic
2025-2026 School Year Immunizations
Permission Form - Medication Admin. In School and Self Carry Medication
Provider Attestation for Independent Medication Carry and Use
Parent Letter Regarding Self-Carry Medication
Parent/Guardian Permission Form to Allow Another Adult to Give Medication
Concussion Fact Sheet for Parents
Medication Delivery Instructions
Receipt of Medication Delivered to School
Receipt for Return of Medication to Parent or Guardian
NYS Health Information
Elementary Nurse
Angie Lyon, RN
Email: alyon@westcanada.org
Phone: 315-845-6800 ext 1152
Fax:315-845-1640
MS/HS Nurse
Chloe Warmingham, RN, BSN
Phone: 315-845-8600 ext. 3352
Fax: 315-845-8652