Learn About: The School Nurse

Ms. Kristin Birdie: (516) 441-4410

Ms. Birdie's responsibilities include, but are not limited to:

bandage Health Office Forms

Health Forms

100 - Health History 102 - Elementary Physical Exam Form 103 - "A" Form
104 - "B" Form 105 - Dental Health Report 109 - Confidential Health Concerns
109-R - Confidential Health Concerns Reminder 110 - Pre-School Lead Screening Requirement Food Allergy Plan

Immunization Forms

200 - Immunization Record 202 - Immunization MMR#2 Requirement 202-R - Immunization MMR#2 Requirement
203 - Immunization Chicken Pox Requirement 203-R - Immunization Chicken Pox Requirement Reminder 204 - Immunization Tdap Requirement
204-R - Immunization Tdap Requirement Reminder

Medication Forms

300 - NYS Guidelines for Administration of Medication 301 - Parent Authorization for Medication 302 - Physician's Order-Parent Authorization for Medication
303 - Self Medication Release Form

Referral Forms

401 - Vision Referral 402 - Vision Referral Update 403 - Color Perception Referral
405 - Hearing Referral
407 - Scoliosis Referral

Assistive Device Forms

501 - Guidelines for Protective/Assistive Devices 502 - Guidelines on Using Crutches

Miscellaneous

904 - Elementary Health Office Numbers 905 - Release of Confidential Information


Saddle Rock Web Site
Created 1/99 by Saddle Rock Teachers and Children

email comments to: comp.sr@greatneck.k12.ny.us