This is a NYS mandated form.

ONLY this form can be accepted for proof of students Physical Exam.  

form for student who can not fully participate in physical education clases (PE) due to medical conditions.

Allows student to have medication in school.  This form will also give permission for your student to carry and self administer their medication when needed if it applies to your student.  some examples would be inhalers or epi pens.