Health Forms

Below you will find many of the health forms you will need for the East Rochester school district. If you have questions, please contact the health office for your child's school.

Health Appraisal Forms

Health Appraisal/Physical Form

Authorization for Release of Medical Information 

Medical Update and Recertification Form      

Medication Forms

School Medication Policy (6-12)

Medication Permission Form (6-8)

Medication Permission Form (9-12)

Dental Forms

Dental Form for 7th and 10th Grades  

Dental Providers for Monroe County 

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