Required Medical Forms 2025-26

  • Required Medical Forms

    Please fill out the information below thoroughly and carefully. You can provide information about your child's annual physical and upload completed required medical forms on the next page. 

  • Student

  • Date of Birth*
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  • Today's Date
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  • Required Medical Forms

    The New York State School Health Examination form must be completed by {StudentFirst}'s doctor. The Over The Counter Medication Permission form must be signed by you and {StudentFirst}'s doctor. All medical forms, including the Immunization Record and Annual Dental Examination, can be downloaded here. 

  • What was the date of {StudentFirst}'s last physical? *
     / /
  • Physical Expiry
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  • Have you scheduled {StudentFirst}'s next physical?
  • Have you scheduled {StudentFirst}'s next physical?
  • What is the date of {StudentFirst}'s next physical?
     / /
  • Do you have copies or photos of {StudentFirst}'s annual medical forms to upload?*

  • You can return to this form via this link to upload {StudentFirst}'s annual medical forms at any point throughout the school year. You can also email them to nursing@clearviewschool.org. 

  • Which of {StudentFirst}'s annual medical forms are you uploading today?
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