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  • Pine Plains Central School District
  • Medical Documents for Students

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  • Parental Notice BMI English 2021-22 school year

    Parental Notice BMI English 2021-22 school year

    Parental Notice BMI ENGLISH_2021-2022 School Year.pdf 71.99 KB (Last Modified on December 15, 2021)
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  • Parental Notice BMI Spanish 2021-22 School Year

    Parental Notice BMI Spanish 2021-22 School Year

    Parental Notice BMI Spanish 2021 2022 School Year.pdf 66.89 KB (Last Modified on December 15, 2021)
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  • Letter to Parents and Form Description 2021

    Letter to Parents and Form Description 2021

    Letter to parents and form description 2021.pdf 135 KB (Last Modified on June 30, 2021)
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  • Medication Treatment Cover Letter 2021

    Medication Treatment Cover Letter 2021

    Medication Treatment cover letter 2021.pdf 116.32 KB (Last Modified on June 30, 2021)
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  • OTC Treatment Form 2021

    OTC Treatment Form 2021

    OTC Treatment form 2021.pdf 129.96 KB (Last Modified on June 30, 2021)
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  • Administration of Prescription Medication 2021

    Administration of Prescription Medication 2021

    Administration of Prescription Medication Independent Form 2021.pdf 300.06 KB (Last Modified on June 30, 2021)
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  • Asthma Action Plan 2021

    Asthma Action Plan 2021

    Asthma Action Plan 2021.pdf 87.27 KB (Last Modified on June 30, 2021)
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  • Allergy Action Plan 2021

    Allergy Action Plan 2021

    Allergy Action Plan 2021.pdf 159.17 KB (Last Modified on June 30, 2021)
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  • Student Health Examination Form Cover Letter 2021

    Student Health Examination Form Cover Letter 2021

    Student Health Examination Form Cover Letter 2021.pdf 315.57 KB (Last Modified on June 30, 2021)
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  • NYS Health Examination Form 2021

    NYS Health Examination Form 2021

    NYS Health Exam Form 2021.pdf 228.59 KB (Last Modified on June 30, 2021)
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Pine Plains Central School District

2829 Church Street, Pine Plains, NY 12567

518-398-7181 x1408 518-398-6592

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The Pine Plains Central School District ("District") does not discriminate on the basis of an individual’s actual or perceived race, color, creed, religion, religious practice, national origin, ethnic group, sex (including sexual harassment and sexual violence), gender identity, sexual orientation, (“sexual orientation” means heterosexuality, homosexuality, bisexuality, or asexuality), political affiliation, age, marital status, military status, veteran status, disability, weight, domestic violence victim status, arrest or conviction record, genetic predisposition or carrier status or any other legally protected status in regard to employment opportunities or educational programs or activities which it operates. All inquiries regarding the District's Non-Discrimination policies and/or all complaints regarding violation(s) of these policies should be directed to the Pine Plains Central School District's Compliance Officer, Mr. Brian Timm, Director of Curriculm and Instruction, PPCSD, 2829 Church Street, Pine Plains, NY 12567, (518) 398-7181 or by email to: Compliance Officer. Additional information and resources available here.
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