Health Office Phone # 229-5171 ext. 3013

Mrs. Tonkery's email ~ mtonkery@honeoye.org

Health Office Forms

Physical Form

Student Health Appraisal Supplement
Required for students in Kindergarten, 2nd, 4th, 7th, and 10th grade 

Interval Health History Form 

Dental Health Certificate 

Individual Student Medications Information Sheet 

Attestation Sheet for Independent Medication and Carry

Parent Permission for Another Adult to Administer Medication

Over the Counter Medication Permission Form

Provider and Parent Permission Form to administer Medication at School Sponsored Events

Medical Exemption form for Immunizations

Back Pack Program Form