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Medical Forms

Cazenovia Central School Medical Forms

The forms listed below are provided in PDF format for you to print at home.

Complete physicals (Health Appraisals) are mandatory in grade K, 1, 3, 5, 7, 9, and 11 and yearly for sports. Please print out these two required forms and take them to the doctor with you.  Health Appraisal (2 pages) and health history combined equal a complete physical.

  1. Required NYS Health Appraisal Form (use for sports physical)
  2. Required NYS Health Appraisal Form Pages 1-2 Editable
  3. Health History

Additional Forms:
  1. Parent and Prescribers Authorization for Administration of Medication in School (Information for parents regarding medications in school can be found here)
  2. Cazenovia Interval Health History for Sports Participation
  3. Cazenovia Central Dental Health Certificate
Cazenovia Central School District Logo

Superintendent
Chris DiFulvio

Phone
315.655.1317

Address
31 Emory Ave Cazenovia, NY 13035