Dear Lower Lab Families,

  • If your child is taking any type of medication and needs to do this within school hours, families MUST bring in a completed MAF form to the nurse on the first day of school.
  • No student is allowed to carry medication in their backpack or leave medication with a teacher without this form in place.
  • Please have your physician fill out the forms over the summer and bring your Epi-Pens, Asthma Inhalers, Medication, Eye-drops or any form of medication in with this form on September 8th. Teachers or staff are unable to administer any type of mediation. Only the nurse is authorized to administer meds. This includes Cold Medicines, Skin Creams, Advil or Tylenol. 

http://schools.nyc.gov/Offices/Health/SchoolHealthForms/default.htm

Screen Shot 2016-08-22 at 12.56.34 PMScreen Shot 2016-08-22 at 12.56.43 PM

Health Services/Section 504 Accommodations

The Office of School Health manages the processes surrounding students needing medication administration, medically-prescribed treatment, glucose monitoring, insulin pump maintenance, and other Section 504 and Individualized Education Program (IEP) services.

Several health forms are used in the New York City public schools.Using these forms helps assure that children get the care, services, and accommodations they need during the school day.

The following forms can be downloaded, completed by parent/guardian and physician/health care provider, and submitted to the child’s school.(Forms must be printed and completed by hand, not on-line.)

504 FAQs

العربية   | বাংলা   | 中文   | Français   | Kreyòl Ayisyen   |  한국어   | Русский  |  Español |  اردو

Guidelines for the Provision of Health Services and/or Section 504 Accommodations for Students for the 2016-2017 School Year     

العربية   | বাংলা   | 中文   | Français   | Kreyòl Ayisyen   |  한국어   | Русский  |  Español |  اردو

1) Asthma Medication Administration Form (AMAF) including Parent/Guardian’s Consent, Authorization and Release for the School-Year 2016-2017

العربية   | বাংলা   | 中文   | Français   | Kreyòl Ayisyen   |  한국어   | Русский  |  Español |  اردو

2) Allergies/Anaphylaxis Medication Administration Form (AAMAF) including Parent/Guardian’s Consent, Authorization and Release for the School-Year 2016-2017

العربية   | বাংলা   | 中文   | Français   | Kreyòl Ayisyen   |  한국어   | Русский  |  Español |  اردو

3) Medication Administration Form (MAF) including Parent/Guardian’s Consent, Authorization and Release for the School-Year 2016-2017

العربية   | বাংলা   | 中文   | Français   | Kreyòl Ayisyen   |  한국어   | Русский  |  Español |  اردو

4) Request for Provision of Medically Prescribed Treatment (Non-Medication) Form 2016-2017  

العربية   | বাংলা   | 中文   | Français   | Kreyòl Ayisyen   |  한국어   | Русский  |  Español |  اردو

5)  School Diabetes Medication Administration Form (DMAF) including Parent/ Guardian’s Consent, Authorization and Release 2016-2017 

العربية   | বাংলা   | 中文   | Français   | Kreyòl Ayisyen   |  한국어   | Русский  |  Español |  اردو

6) Request for Section 504 Accommodations with HIPAA Authorization 2016-2017  – NEW – Request form is now 2 parts – this form is to be completed by Parents

العربية   | বাংলা   | 中文   | Français   | Kreyòl Ayisyen   |  한국어   | Русский  |  Español |  اردو

7) Medical Review for 504 Accommodations 2016-2017 – NEW – Request form is now 2 parts – this form is to be completed by a Medical Practitioner


Instructions for the Use of the HIPAA-compliant Authorization Form

504 Accommodation Plan

Parent Letter — Renewal

العربية   | বাংলা   | 中文   | Français   | Kreyòl Ayisyen   |  한국어   | Русский  |  Español |  اردو

Parent Letter — new students

العربية   | বাংলা   | 中文   | Français   | Kreyòl Ayisyen   |  한국어   | Русский  |  Español |  اردو
Notice of Eligibility Determination

Allergy Response Plan

Medical Review of Student with Severe Allergies

Standing Order for Administration of Epinephrine for Nurses

Training Program for Unlicensed School Personnel to Administer Epinephrine

Policy Statement 

العربية   | বাংলা   | 中文   | Français   | Kreyòl Ayisyen   |  한국어   | Русский  |  Español |  اردو

Notice of Non-Discrimination Under Section 504

Educational Advocates