Forms:
For your convenience, PDF links to our school forms are available below.
ALL OF THESE FORMS ARE REQUIRED TO BE COMPLETED for students attending St. Francis de Sales School for the Deaf in Brooklyn.
Change of Address or Emergency Contact Form
Cambio de Dirección ó Contacto de Emergencia
Excuse for School Absence Form
Consent to Administer Medications Form
Consentimiento para Administrar Medicamentos
Student Device Loan Agreement Form
Guidelines for All Health Forms & Medical Accommodations Forms 2022-2023
Guidelines for the Provisions of Health Services 2022 – 2023
Medical Accommodations Request Form 2022 – 2023
General Medication Administration Form 2022 – 2023
Request for the Provision of Medically Prescribed Treatment (Non-Medication) 2022 – 2023
Allergies/Anaphylaxis Medication Administration Form 2022 – 2023
Asthma Medication Administration Form 2022 – 2023
Diabetes Medication Administration Form 2022 – 2023
Physical Form – 2022 -2023
Seizure Medication Administration Form 2022 – 2023
Authorization of Release of Health Information Pursuant to HIPAA
Eye Report and Recommendations
Click this link for the NYCDOE website for all forms in languages other than English:
https://www.schools.nyc.gov/school-life/health-and-wellness/health-services