Secondary School Health Office / Welcome Page

Welcome to the High School Health Office

MS/HS Nurse Heidi Powell BS RN NCSN

High School Nurse Kelly Mancuso BS RN BSN

Phone 716-366-9300 *2065 Fax 716-366-9411 or 716-366-0285

email: hpowell@g.dunkirkcsd.org

kmancuso@g.dunkirkcsd.org

All other required forms for the Health Office.

Fax number is

716-366-9411 or 716-366-0285

Physical Education Restriction Form

High_School_PE_Activity_Restriction_Form_DHS_2021g.docx 57.58 KB (Last Modified on October 19, 2021)

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REQUIRED physical exam form

This is the physical exam form that is REQUIRED by NYS.

health-exam-form2021.pdf 235.31 KB (Last Modified on June 4, 2021)

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Physical Exam Parental Permission

permission form for sports physicals..pdf 44.65 KB (Last Modified on June 12, 2019)

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Medication Order Form (English)

Allows a 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 applicable. Some examples would be inhalers or epi pens.

Medication Order English2018.doc 27.5 KB (Last Modified on June 14, 2018)

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Medication Order Form (Spanish)

Allows a 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 applicable. Some examples would be inhalers or epi pens.

Medication Order Sanish2018.docx 14.21 KB (Last Modified on June 14, 2018)

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