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Health Office

St. John's Health Office

Phone: (631) 587-8000 x123 | Fax: (631) 587-8996
Nursing Staff
- Ms. Jennifer Tomeo, R.N.
  
  Email
- Ms. Kristina Mezzacappa, R.N.
  
  Email
Forms
- Mandatory Health History Form
  
  Physical Form
  
  Removing Non-Medical Exemption Notification
  
  Removing Non-Medical Exemption FAQ's
  
  9th, 10th, and 11th Grade Immunization Requirements
  
  12th Grade Immunization Requirements
  
  Student Request for Set of Books at Home
- Flu Publication - NYSDOH (English)
  
  Flu Publication - NYDOH (Spanish)
  
  Emergency Care Plan for Allergy/Anaphylaxis Care Plan/Medication Authorization
  
  Emergency Care Plan for Asthma
  
  Emergency Care Plan for Diabetes
  
  Emergency Care Plan for Seizures
  
  Medication in School Notice
  
  Medication Administration Form
  
  Self-Carry Medication Form
Student Working Papers
- Instructions
  
  PLEASE READ INSTRUCTIONS:
  • Parents complete Part 1 (AT-17 Form) of this form.
  • If you had a physical with your family doctor you must take this form to your doctor and have it completed.
  • If you saw the school doctor for your physical the form wil be compelted by the school nurse. The completed form should be taken top your home school district (usually the high school you would attend if you went to public school). That school will issue your working papers.
  • You must bring proof of your residency, date of birth and social security card with you. You must also bring in a Photo ID to receive your Working Papers.
- Forms & Memos
  
  Working Papers Application Form
  
  State Memo
  
  AT-17 Form
  
  AT-22 Form
Notes from the Health Office
- New York State Education Law requires the following:
  
  All 9th Grade Students and any New Students must have immunizations and a valid physical to enter St. John the Baptist
  
  All 11th Grade Students must have a valid physical
  
  All Student Athletes need a valid physical to tryout for and participate in any sport
  
  In addition, occasionally it is necessary for a student to receive medication during the school day. The school nurse will cooperate with parents and physicians in these situations; but we are obligated to follow precise procedures. In order to comply with these guidelines from the New York State Practice Act and provisions of State Education Law, the following requirements for administering medications in school include:
  
  A written request from the family physician in which she/he indicates the drug, frequency, dosage and method of administering.
  
  A written request from the parent to administer the medication as specified by the family physician.
  
  Students in 9th grade, 11th grade, and all new entrant students must have vision and hearing screenings. These screenings may be done by the nurses in the health office.
  
  The medication must be delivered directly to the school nurse.
  
  Medication forms can be obtained online.
  
  All 12^th grade students must have a booster of the Meningococcal conjugate vaccine.
  
  Any questions, please call the Health Office at (631) 587-8000 x123