MPH Apply Now

Health Forms

2017-18 Health Forms

Listed below in PDF format are 2017-2018 forms from MPH’s Health Office. Please contact the Health Office at 446-2452, ext. 127 with any questions. Forms may be faxed to the Health office at 1-866-846-0684.

Instructions for Forms

Health Appraisal Form

Medication Permission Form

International Student Immunization Records

Sports Participation Form

Reminder for Parents of Rising 6th, 7th, and 12th Grade Students

Administration of Medication Authorization On Field Trips

Emergency Care Plans

Asthma Emergency Care Plan

Food Allergy Emergency Care Plan

The Concussion protocol for Manlius Pebble Hill is the New York State “Guidelines for Concussion Management in the School Setting.”