Student Medical Services

School Nurse

Jessica Vadala, RN

315-852-3400, menu option 2


Annual screenings (height, weight, vision and hearing) will be conducted for new entrants and students in Grades 1, 2, 3, 5, 7 and 10.  Screening results will be mailed to parent/guardian.  Please contact the school nurse's office at (315) 852-3400 Ext 2 or if you do not wish for your child to be screened. 

With flu and cold season around the corner, please remember the following preventative measures:

Wash hands - Often with soap and water for 20 seconds

Cover your cough/sneeze with a tissue, then dispose of contaminated tissue promptly and wash hands

Keep sick child home until symptom-free for 24 hours

Avoid touching eyes, nose and mouth with unwashed hands

Avoid kissing, hugging and sharing cups or eating utensils with people who are sick

Disinfect frequently touched surfaces such as toys or doorknobs

Seek medical attention for symptoms of illness

Utilize availabe vaccines - DCS will be holding a flu shot clinic on October 20, 2014

For children who have a history of asthma or reactive airway disease and have current medical orders for rescue inhalers, make sure your child has access to this medication.  Make sure the school nurse has current orders for ALL medications (ALL medication orders need to be renewed at the beginning of EACH school year) and has the current medication - see below for medication administration forms

Make sure the school has parent's most recent and correct contact information

Click here for link to Family Health Network website

For students enrolled in Student Medical Services:  A flu shot or mist is available for students enrolled in SMS. If interested, please stop in the SMS office to pick up a permission form.

Related Files
    pdf New Student Health History Form (PDF - 112 KB)
    This form needs to be completed on every child as they enter DeRuyter Central School. Information provided will allow the school nurse to have medical knowledge of your child in order to provide the safest learning environment.

    pdf Physical Form (Health Appraisal) (PDF - 71 KB)
    Current physicals are needed on any new entrant, students in grades Pre-kindergarten, Kindergarten, 2, 4, 7 and 10, and all student athletes. To be completed by your child's primary health care provider. Although other forms may be acceptable, this is DeRuyter Central School official physical form.

    pdf Dental Certificate (PDF - 109 KB)
    Completed dental certificates are requested by the school nurse for every new entrant and students in grades Pre-kindergarten, Kindergarten, 2, 4, 7 and 10.

    pdf Medication Administration and Self-Carry/Self-Administer Medication Forms (PDF - 159 KB)
    This form needs to be completed for any and all medications that a student takes in school.

    pdf Interval Health History Form (PDF - 71 KB)
    This form needs to be completed for all student/athletes prior to the beginning of each sports season, if the student has a current and complete sports physical that was not done within the 30 prior to the start of the season.

    pdf Pre-Participation Form (PDF - 140 KB)
    This form needs to be completed for all student/athletes at the time of their physical. The pre-particiation form is part of a complete sports physical.

    pdf Student and Parent Concussion Information (PDF - 314 KB)
    Concussion: The Invisible Injury, an information sheet from the New York State Public High School Athletic Association.

    pdf Baseline Cognitive Testing Information (PDF - 218 KB)
    Upstate Sports Concussion Program offers baseline testing. This testing is not provided by nor required by DeRuyter Central School. The information provided is for personal/private individuals wishing to participate in this testing. Any financial burden will be the responsibility of the parent/guardian.

    pdf Provider Attestation Form for Self-Carry & Self-Administer Medication in School (PDF - 87 KB)
    This form needs to be completed by any student's prescribing doctor for all medications that will be self-carried and self-administered in school.

    pdf Return to Play Progression Following Concussion (PDF - 59 KB)
    DeRuyter Central School uses a step-wise return to play progression for students who have been diagnosed with a concussion. The Return to Play Progress is started only after the student has been symptom free for 24 hours and has been cleared by that student's primary healthcare provider/the school physician to begin the Return to Play Progression.

    pdf "pdf file: You need Adobe Acrobat Reader (version 5 or higher) to view this file. Download the free Adobe Acrobat Reader for PC or Macintosh."

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