Student Support Services

School Health Services

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Health services and school nurses are an integral part of the school, ensuring the health and safety of students and staff. The health needs of students today have increased in scope and complexity. The information on this page is intended to assist health professionals and schools in providing health services in the school setting.

Please see the NYS Center for School Healthexternal link icon for a multitude of resources related to school health.

Updates and New Information:

March 31, 2022

March 3, 2022

May 11, 2021

Automatic Electronic Defibrillator (AED)

All you ever wanted to know about AEDs

Dental Certificates

Clarifying Information on Dental Certificates for Students Entering School: Effective September 1, 2008

Education Law Section 903

Letter to Administrators

Recommended Sample Dental Certificate (Word File 28 KB)

List of dental providers offering free or reduced care


Family Education Rights & Privacy Act - Federal LawExternal Link

FERPA and ImmunizationsExternal link


Joint NYS Department of Health - NYS Education Department Coronavirus Letterpdf icon

Coronavirus Parent Letterpdf icon

Athletic Placement Process (pdf icon  766 KB) Updated December 2017

Blood Borne Pathogens in Classrooms (pdf icon 199KB)

Caring for Students With Life Threatening Allergies (PDF File 2.34 MB) This document predates laws regarding the administration of epinephrine auto-injectors.  Please see the Guidelines for Medication Management in Schools for the most up to date information on administering this medication.

Concussion Management Guidelines (pdf 545 KB, updated June 2018), based on the Concussion Management and Awareness Act effective July 1, 2012

Educational Services for Recently Arrived Unaccompanied Children pdf icon (258KB) - 9/10/14

Feminine Hygiene Products in Schools (pdf 120 KB) - April 2018

A joint Health Advisory (PDF File 66.82 KB) on MRSA by the New York State Education Department and the New York State Department of Health on MRSA and resources for schools.

Guidance for HIV/AIDS Prevention EducationPDF Document - August 2019

Handwashing Recommendations and Alcohol-based Hand Sanitizer Use in Schools PDF file - March 2020

Hearing Screening Guidelines - Updated May, 2018 (pdf 272 KB)

Influenza Guidance - February 2018

Information Regarding Sports Physicals - December 2000 (pdf 99 KB)

Information Regarding the Use of Sunscreen (pdf 479.20 KB)

  • FDA Approved Sunscreen Drug Productsexternal link icon
  • FDA Approved Sunscreen Labelingexternal link icon
  • In cases where a student does not understand what sunscreen is used for, or is incapable of asking for assistance applying sunscreen, New York Law requires that a licensed health care practitioner (such as a nurse) apply sunscreen on the student pursuant to a medical provider order.

Interval Health History for AthleticsPDF file - December 2020 (Spanish version is available on the New York State Center for School Healthexternal link icon website)

Managing Emergency Health Care and Communicable Diseases In the School Setting 2019pdf icon - November, 2019

Measles Guidance from NYSDOH and NYSED pdf icon

Measles Outbreak and School Exclusion ( pdf icon 153 KB)

Medication Management in Schools, Revised December, 2017 (pdf 729 KB)

Mental Health Education in Schools   access resources for pupil personnel services staff to utilize in assist health educators in supporting a comprehensive approach to mental health well-being in NYS schools.

  • Research has shown that the quality of the school climate may be the single most predictive factor in any school’s capacity to promote student achievement.  When young people are learn about mental health, the likelihood increases they will be able to effectively recognize signs and symptoms in themselves and others and will know where to turn for help. Access resources for all school staff to assist in supporting a comprehensive approach to mental health well-being in NYS schools.

Parent/Guardian Notifications Regarding Student Illness or Injury (pdf icon 29 KB)

New NYS School Health Examination Form Implementation Year (pdf 82 KB)

New York State Guide for Asthma Managment in Schools (pdf icon 10 MB)

Resources for Schools on Trauma-Informed Care and Youth Witnessing a Suicide - January 2017 (pdf 273 KB)

Sample Recommended NYSED Interval Health History for Athletics (pdf 1 MB) - May 2018

SED and DOH joint memo on Measles (pdf icon 297KB) - 2/9/15

School Health Examination Guidelines - May 2018 (pdf 676 KB)

School Scoliosis Screening Guidelines - Updated May, 2018 (pdf 236 KB) 

Supporting Toilet Learning - March 2016 (pdf image 53 KB)

Tick and Tick-Borne Disease: Education in Schools

Tuberculosis Tests and School Enrollment - January 2017 (pdf 263 KB )

Vision Screening Guidelines - Updated May 2018 (pdf 249 KB)

Health Insurance Portability and Accountability Act (HIPAA)

Joint Guidance on the Application of the (FERPA) And (HIPAA) To Student Health RecordsExternal link


Additional Frequently Asked Questions About School Vaccination Requirementsexternal link icon from the New York State Department of Health - October 2019

Additional Guidance About Vaccination Requirementsexternal link icon - August 2019

Emergency regulations to conform to recent amendments to the Public Health Lawexternal link icon - August 2019

Frequently Asked Questions About Vaccination Requirements PDF Document - July 2019

Frequently Asked Questions About Legislation Removing Non-Medical Exemptions from School Vaccination Requirements PDF Document - June 2019

Statement on Legislation Removing Non-Medical Exemption from School Vaccination Requirements PDF Document - June 2019

Memo Regarding Immunization Certificates for High School Graduates, 11/17/2011 (pdf 41.11 KB)

Refugee Immunization Guidelines (pdf 64.04 KB)

New Provisions of Law Concerning the Administration of Immunizations & Anaphylactic Agents by Registered Professional Nurses Utilizing Non-Patient Specific Orders & Protocols (February 27, 2001) (PDF File 79.94 KB)

New York State Immunization Requirements for School Entrance/Attendance

Informational Immunization Materials for Parents

Clarification about Administering Immunizations and Anaphylactic Agents by Registered Professional Nurses using Non-Patient Specific Orders & Protocols (October 3, 2001) (PDF File 79.94 KB)

Webinar: Updates on Immunizations and School Attendanceexternal link icon - August 2019

Laws and Regulations

Feminine Hygiene Products in Schools (pdf 118 KB) - April 2018

Medical & Health Service- Article 19

Commissioner's Regulations CR 136.1external link icon - Definitions of School Health Services and Personnel

Commissioner's Regulations CR 136.2external link icon - Duties of Schools to Provide Health Services

Commissioner's Regulations CR 136.3external link icon - School Health Services to be Provided (see above update)

Commissioner's Regulations CR 136.4 - On Site Cardiac Automated Defibrillators

Commissioner's Regulations CR 136.5 - Concussion Management and Awareness

Commissioner's Regulations CR 136.6external link icon - Authorized Use of Epinephrine Auto-Injector

Commissioner's Regulations CR 136.7 - Self-administration of Certain Medications by Students

Commissioner's Regulations CR 136.8 - Opioid Overdose Prevention

Clarification of Student Pregnancy and Confidentiality


Medicaid in Education Provider Policy and Billing Handbookexternal link

Medicaid in Educationexternal link

Medicaid in Education News and Announcementsexternal link


Clarification on Insulin Pumps (pdf 27.53 KB)

Clarification on Medication Storage in Schools (pdf 9.68 KB)

New Policy for Stocking Albuterol Metered Dose Inhalers (MDIs) (pdf 33.50 KB)

Memo Regarding the NYSDOH Opioid Overdose Prevention Program (pdf 146 KB)

Blood Glucose Monitoring - EMSC School Executive's Bulletin (January 2001) (pdf 197.14 KB)

Clarification about Administering Immunizations and Anaphylactic Agents by Registered Professional Nurses using Non-Patient Specific Orders & Protocols (October 3, 2001) (PDF File 79.94 KB)


Administration of Medications to Students During School-Sponsored Events by Parent/Guardian Designee (pdf 21.03 KB)

Guidelines for Medication Management in Schools, Revised December, 2017 (pdf 729 KB)

January 2007 Memo Regarding Vagal Nerve Magnet Stimulators (pdf 22 KB)

Mental Health Resources

Guide for Suicide Prevention for School Personnel (pdf 543 KB)

Supporting Student Mental Health Joint SED and OMH letter (pdf 209KB)

Recommended Mental Health and Suicide Prevention Resources for NYS Schools, Families, and Students (pdf 189KB)

Nonpublic Schools

Health Services for Pupils Attending Nonpublic Schools


Provision of Nursing Tasks and Health-Related Activities in Approved Preschool Special Education Settings for Children with Disabilities, Ages Three and Four Years

Non-patient Specific Orders

Medication Administration by Unlicensed Persons

Board of Nursing (Office of Professions)

Guidelines for Determining a Student with a Disability's Need for a One-to-One Nurse

Provision of Nursing Services in School Settings - Including One-to-One Nursing Services to Students with Special Needs - (pdf icon 164 KB) January 2019

Use of Licensed Practical Nurses and the Term “School Nurse” in School Settings

District Responsibilities in Hiring Self Employed Nurses (pdf 7.76 KB)

Substance Abuse

New York State Addiction and Substance Use Disorder Educational Resource

Resources to Combat Substance Abuse Among School-Aged Children, including Educational Resource Flash Drive Toolkit Available Free to Schools - April 2018

Education Materials and Resources Addressing Substance Use: Implementation of New Law Education Law §3038 pdf icon - March 2019

  • Additional evidence-based resources on substance use prevention. COMING SOON!

Guidance for Providing Educational Resources to Address Substance Use pdf icon - June 2019

Letter to Schools from Commissioners of the New York State Department of Health and Education Department to raise awareness and educate on the dangers of e-cigarettes.   (pdf icon 606 KB) - January 2019

Multi-Agency Commissioner's Letter Regarding Substance Abuse Prevention Resources - June 2016 (pdf 502 KB)

Expanded resources for Opioid Overdose Prevention are available on the NYS Center for School Health Website.external link icon  Go to the A-Z Index and click on O for the Opioid Toolkit Page.

Last Updated: April 21, 2022