• Temple Elementary Health Services

     

    Temple Nurse:

    Mrs. Melissa Town, RN, BSN

    mtown@falconerschools.org

    Phone - 716-267-3255 option 1

    Fax - 716-267-9420

     

     

    Chautauqua Center offers immunizations, physical exams, and dental exams for children and adults that are having trouble with their insurance or have no insurance. They also have advocates to help you get the coverage you need!

    Location: 110 E. 4th St. Jamestown, NY 14701

    Phone: 716-484-4334

    Hours: Monday-Thursday 8 am-6 pm and Friday 8 am-5 pm 

     

    Immunizations must be up to date within the first 14 days of school or let the nurse know about scheduled appointments if on a catch-up schedule.

    Physical Exam:

    New York State law requires a health examination for all students entering the school district for the first time and when entering Pre-K, K,  and 1st grade. The examination must be completed by a New York State licensed physician, physician assistant, or nurse practitioner within the past year starting from the first day of school.

     

    • A copy of the health examination must be provided to the school within 30 days from when your child first starts at school, and when your child starts Pre-K or K, 1st ,3rd , 5th, 7th , 9th & 11th If a copy is not given to the school within 30 days, the school will contact you.
    • If your child has an appointment for an exam during this school year that is after the first 30 days of school, please notify the Health Office of the date.
    • Communication between private and school health staff is important for safe and effective care at school. Your healthcare provider may not share health information with school health staff without your signed permission. Please talk to your provider about signing their consent form for the school at the time of your child’s appointment for the examination.

    Dental Van is available by appointment and changes locations monthly. To make an appointment, call 716-560-5127. They provide exams, cleanings, fillings, and X-rays. Ages 2-20. They take Medicaid and Fidelis. If you have no insurance, you can get a discounted rate. For other insurance providers, you will need to send the paid bill for reimbursement. 

     

    We suggest you make copies of the completed forms for your own records before sending them to the school health office. Forms may be faxed to Temple at 716-267-9420

     

  • Universal Pre-K Requirements

     
          PHYSICAL    		  
     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
                            
      IMMUNIZATION 
           RECORD 
    		  
      VARICELLA: 1 DOSE 
      (Chicken pox vaccine)
       
      DTaP/DTP/Tdap: 4 DOSES
      (Diptheria Toxoid/ Diptheria, Tetanus, Pertussis Vaccine)
       
      IPV: 3 DOSES 
      (Polio vaccine)
          MMR: 1 DOSES EACH of the Measles, Mumps, and Rubella
      (Measles, Mumps, Rubella vaccine)
          HEPATITIS B: 3 DOSES
          HIB: 1 to 4 DOSES 
      (Haemophilus influenzae type b conjugate vaccine)
          PCV: 1 to 4 DOSES
      (Pneumococcal Conjugate Vaccine)
          PCV 13: Preferred vaccine for pneumonia
        LEAD LEVEL
            TEST
    		  
     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.
       DENTAL EXAM     A DENTAL FORM IS OPTIONAL FOR PRE-K
    Other Forms you 
    will need to
    submit
    		  

    1) Birth certificate (copy)
    2) Proof of residency, such as utility bill, tax receipt, rent receipt.
    3) 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 for 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 after the 14th day.
     
      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

  • Requirements for students entering Kindergarten

         
              PHYSICAL
    		  
     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.
     IMMUNIZATION
           RECORD
    		  
     VARICELLA: 2 DOSES 
     (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) 
         HEPATITIS B: 3 DOSES
         HIB: Not required for Kindergarten
     (Haemophilus influenzae type b conjugate vaccine)
         PCV: Not required for Kindergarten
     (Pneumococcal Conjugate vaccine)
        LEAD LEVEL 
            TEST
    		  
     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.
      DENTAL EXAM
    		    Is optional for students entering Kindergarten
    Other Forms you
    will need to
    submit
    		  
    1) Birth Certificate (Copy) 
    2) Proof of Residence, such as utility bill, tax receipt, rent receipt
    3) 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 for 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 after the 14th day.
      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 option 1   FAX: 716-267-9420
     
     
     
     
  •  
     
                        REQUIREMENTS FOR 1ST AND 2ND GRADE            
     
         
              PHYSICAL
    		  
     Only 1st GRADERS need to submit a physical
     or call the Health Office with a scheduled
     appointment date. A physical done within the
     last 12 months is acceptable.
     IMMUNIZATION
           RECORD
    		  
     VARICELLA: 2 DOSES
     (Chicken pox vaccine)
     
         DTaP/DTP/Tdap: 4 to 5 DOSES
     (DiptheriaToxoid/Diptheria,Tetanus, Pertussis)
     
         IPV: 3 to 4 DOSES
     (Polio vaccine)
     
     
    		  
     MMR: 2 DOSES
    (Measles, Mumps, Rubella vaccine) 
         HEPATITIS B: 3 DOSES
         HIB: Not required for grades 1 and 2
     (Haemophilus influenzae type b conjugate)
         PCV: Not required for grades 1 and 2
     (Pneumococcal Conjugate vaccine)
      DENTAL EXAM 
    		  
      A Dental form is optional for 1st and 2nd 
      grade students
     
       Medical exemptions for 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 after the 14th day
     
        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
     
        OFFICE PHONE: 716-267-3255    HEALTH OFFICE: 716-267-3255    FAX: 716-267-9420