Nurse's Office

High School (716) 686-5087
Middle School (716) 686-5042
Cayuga Heights (716) 686-5008, (716) 686-5007

Immunization Regulations

Form for Physical Exams

Flu Information

Hand Foot and Mouth Information


New York State has changed its immunization requirements starting with the 2014-15 school year. Parents should consult with their child's physician regarding their child's immunization schedule. The complete schedule from the state is below in the Related Files area.

This new law also states medical exemptions from immunization MUST be renewed annually by your medical provider.


The NYS Education Department requires an annual physical exam for new entrants, students in Grades K, 2, 4, 7 and 10, sports, working permits and triennially for the Committee on Special Education.

Please print the Health Appraisal Form, located below in Related Files, and have your physician complete and sign the form. A parent signature is also required on the form.


If your child is sent home from school or stays home with a fever, do not send them back to school the next day. Your child must be fever-free for 24 hours WITHOUT the assistance of fever-reducing medication such as Motrin (ibuprofen) or Tylenol (acetaminophen) before returning to school. A fever is defined as 100°F (37.8°C) or higher.

For example:

  • Child stays home Monday with a fever. Fever breaks Monday night.
  • Child must be fever-free all day Tuesday, without taking any fever-reducing medication.
  • Child returns to school Wednesday.


School personnel are very familiar with proper hygiene protocols and are taking all necessary precautions to protect the health and safety of our students, faculty, staff and the community. You play a very important role in stopping the spread of disease by following the guidelines below and making sure your children do as well. We, too, as a school system will continue to follow these guidelines.

It is very important that you do not send your child to school if he/she is experiencing any flu-like symptoms (fever over 100 degrees F, and cough, runny nose, nasal congestion, or sore throat). Consider contacting your child’s health care provider if the symptoms are of concern or become more than mild. It is important that you notify the school health office should you consult with your child’s physician. Students who are ill should remain home and away from others until they have been symptom-free and fever-free for at least 24 hours.

  • Wash your hands often with soap and warm water. In the absence of soap and water, alcohol-based hand cleaners are also effective.
  • Avoid close contact with people who are sick

  • Stay home when you are sick and keep your distance from others to protect them from getting sick too.

  • Cover your mouth and nose with a tissue when coughing or sneezing and dispose of the tissue in a covered trash bin.

  • Avoid touching your eyes, nose or mouth. Germs are often spread when a person touches something that is contaminated with germs and then touches his or her eyes, nose or mouth.

  • Do not share personal items and clean shared spaces often such as phone receivers, steering wheels, door knobs and office equipment.

  • Practice other good health habits. Get plenty of sleep, be physically active, manage your stress, drink plenty of fluids and eat nutritious foods.


Who gets hand, foot and mouth disease? The infection usually occurs in children under 10 years of age, but occasionally can occur in young adults

How is it spread? The virus is spread by direct contact with nose and throat discharges, blisters and feces of infected people.
What are the symptoms and when do they start? Symptoms of fever, poor appetite, runny nose and sore throat can appear three to five days after exposure. A blister-like rash on the hands, feet and in the mouth usually develops one to two days after the initial symptoms.

When and how long can someone spread the disease? A person is contagious when the first symptoms appear and may continue until the blister-like skin lesions disappear. The virus has been known to be shed in the stool for up to several weeks

How is hand, foot and mouth disease diagnosed? The diagnosis is generally suspected on the appearance of blister-like rash on hands and feet and mouth in a child with a mild febrile illness. Although specific viral tests are available to confirm the diagnosis, they are rarely performed due to expense and length of time needed to complete the tests.

Does a prior infection with Coxsackie virus make a person immune? Specific immunity can occur, but a second episode is possible from a different strain of Coxsackie virus.

What is the treatment? There is no specific treatment. Treatment is aimed at fever control and maintaining good oral hydration.

Can there be complications associated with hand, foot and mouth disease? The illness is typically mild, complications are rare. More serious infections have been seen recently with a certain strain of Coxsackie viral infection in Indonesia.

What can be done to prevent the spread of this disease? Children who feel ill or have a fever should be excluded from group settings until the fever is gone and the child feels well. Thorough hand washing and care with diaper changing practices is important as well.

Is there a risk for pregnant women? There is debate as to any congenital disorders related to Coxsackie viral infections and pregnancy. Pregnant women should consult their obstetrician for further information.

*The only exclusion criteria per NYSDOH guidance is fever (which is consistent with most communicable diseases). So if the child with hand foot and mouth disease has a fever, exclusion from school can be considered until the child no longer has fever.