Health Exam (Physical) Form
New York State Immunization Requirements
All kindergarten, transfer students, and new entrants must provide evidence of immunization against diphtheria, Tetanus, Pertussis, hepatitis B, measles, mumps, rubella (German measles), polio, and varicella (chicken pox).
All students enrolling in grades 6-12 for the 2024-25 school year must provide evidence of a tetanus, diphtheria, and pertussis (whooping cough) booster (Tdap). All students entering grades 7-12 for the 2024-2025 school year must provide evidence of receiving the Meningococcal vaccine.
For specific requirements, visit www.schoolhealthservicesny.com and/or review: