District Health Forms

  • The following information is available to Jamestown Public Schools students and families. If you have any questions, please contact JPS Nurse Practioner Dr. Jill Muntz at jill.a.muntz@jpsny.org or your child's school nurse.

Required Health Examination Form

  • Required Health Examination Form

    As of July 1, 2018, New York State law requires a health examination for all students entering the school district for the first time and when entering Pre-K or K, 1st, 3rd, 5th, 7th, 9th, and 11th grade.

    The examination must be completed by a New York State licensed physician, physician assistant or nurse practitioner and on the approved NYSED Student Health Examination Form for School.

    If you have any questions regarding the new health exam requirements, please contact JPS Nurse Practioner Jill Muntz at jill.a.muntz@jpsny.org 
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Immunization Requirements

Student Medication Information

Information on the Flu for Parents