This is a NYS mandated form.

ONLY this form can be accepted for proof of a student's Physical Exam.  

Form for a student who can not fully participate in physical education classes (PE) due to medical conditions.

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.