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West Canada Valley CSD

Health Documents

REQUIRED NYS SCHOOL HEALTH EXAMINATION FORM

health-exam-form.pdf 235.31 KB (Last Modified on February 8, 2021)

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BMI OPT OUT

BMI Opt Out.pdf 59.44 KB (Last Modified on October 19, 2020)

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Dental Health Certificate

Dental Health Certificate.doc 46.00 KB (Last Modified on January 25, 2016)

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Health History Form

health history.doc 52.00 KB (Last Modified on January 25, 2016)

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Herkimer County Immunizations Clinic

2023 IMMUNIZATION SCHEDULE.pdf 267.16 KB (Last Modified on January 31, 2023)

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Permission Form - Medication Admin. In School and Self Carry Medication

Medication Admin In School and Self Carry Medication .pdf 388.65 KB (Last Modified on February 8, 2021)

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Provider Attestation for Independent Medication Carry and Use

Provider Attestation for Independent Medication Carry and Use.pdf 441.65 KB (Last Modified on February 8, 2021)

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Parent Letter Regarding Self-Carry Medication

Parent_letter.pdf 404.5 KB (Last Modified on September 20, 2018)

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