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    New York State Requirements for students entering



     You have 30 days from the first day of school to submit a physical
     exam from your doctor to the Health Office (a physical within the
     past 12 months is acceptable), OR you must call the Health Office
     with a scheduled appointment date.

     (Chicken pox vaccine)

     DTaP/DTP/Tdap: 4 to 5 DOSES
     (Diptheria Toxoid/ Diptheria, Tetanus, Pertussis Vaccine)

     IPV: 3 to 4 DOSES
     (Polio vaccine)

     MMR: 2 DOSES
     (Measles, Mumps, Rubella vaccine)


     HIB: Not required for Kindergarten
     (Haemophilus influenzae type b conjugate vaccine)

     PCV: Not required for Kindergarten
     (Pneumococcal Conjugate Vaccine)

        LEAD LEVEL

     Usually done at an early age, a Lead Level is required
     (not mandatory), to be submitted to the Health Office within
     3 months from the first day of school.Your doctor should already
     have the results. If not, it is your choice to have your child tested.
     NYS Public Health Law, Article13, Title 10, Section 1370-1376-A, 
     wants parents to be informed of the risks of lead.

     Is required for students entering Kindergarten
    Other Forms you
    will need to

    1) Birth Certificate (Copy)
    2) Proof of Residence, such as utility bill, tax receipt, rent receipt

    School provided Home Language Questionnaire Form
    4) School provided Confidential Enrollment Form
    5) School provided Health and Contact Form
    6) School provided Transportation Form
    7) Signed Request for Student Records Form,for transferring students
      Medical exemptions to immunizations must be reissued yearly
    *Students who are not fully immunized must call the health office with an appointment date or they will be
      excluded from school
      Serologic proof of measles, mumps, rubella, hepatitis B, varicella or polio antibodies is acceptable
      proof of immunity
      Diagnosis by a doctor that a child has had varicella is acceptable proof of immunity
      For further information contact: NYS Department of Health, Bureau of Immunization

      A Packet containing these forms to enroll your child is available at the Temple Office


      OFFICE PHONE: 716-267-3255   HEALTH OFFICE: 716-267-3255   FAX: 716-267-9420