New health examination form requirements

There is a new health examination form for schools that may be filled out electronically. Schools can no longer accept the health exam if it is not on the required form or the required health record equivalent.

Education Law requires all New York state public school students to have a health exam when they are a new student in a school district and when they enter Pre-K or Kindergarten, and grades 1, 3, 5, 7, 9, and 11. 

Please share the following papers at your child’s visit for a health exam with the health care provider. This is typically your doctor but may be a nurse practitioner or physician assistant.

  • Required NYS School Health Examination Form
    This form may be completed electronically by saving it to your computer, entering the information into the fillable fields, and saving a copy for each student.
  • Instructions for your health care provider
    Provides direction to healthcare providers on the required components and the required presentation order of those components for an electronic health record form to be an equivalent form.