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Great Neck North High School

Where Discovery Leads to Greatness

Forms

Medical Requirements for GNNHS Students

Required For All Students - Yearly

#109 Confidential Health Concerns

Required Forms for New Entrants

#100 Health History Form
#102 Physical Exam Form/A Form
#105 Dental
#109 Confidential Health Concerns
#200 Immunization Record

Required Forms for All 9th and 11th Grade Students

#102 Physical Exam Form/A Form
#105 Dental
#109 Confidential Health Concerns

Required for all 12th Grade Students

Meningococcal Vaccine

Required Forms for Athletes

#102 Physical Exam Form/A Form
#104 B Form

Parent Consent for Examination of a Minor

Medication in School

#300 NYS Guidelines for Administration of Medication
#301 Parent Authorization for Medication
#302 Physician Order-Parent Authorization for Medication
#304 Provider and Parent Permissions Form

Allergy Management

District form for Allergist
Emergency Action Plan
#304 Provider and Parent Permissions Form

Concussion

District Concussion Forms

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