Courtney Shutts, RN
High School Nurse
Northeastern Clinton Central School
CShutts@NCCSCougar.org
518-298-8638 Ext. 2406
Fax 518-298-2873
Winter Sports Information
Attention Athletes: If you are playing a winter sport, "Athletic Health History” forms are available in the main office, in the health office or by scrolling down to "Related Files". These forms should be turned into the health office by October 31st to ensure timely clearance. Athletes must also have a current physical (within the past 12 months) on file in the health office. Please contact the health office immediately if you are unsure of your last physical, we will be conducting physicals in the health office on Wednesday, November 6, 2019.
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- 1. A current physical within the past 12 months (November 2018-November 2019)
- 2. Interval Health History Form (needed for every sports season)
- 3. Student Accident Insurance Form 2019 (only needed once for the school year)
- 4. Authorization of Administration of Medication and Self Medication Release Form (for those with inhalers, Epi-pens, or Glucagon)
Please scroll to the bottom of the page to "Related Files"
For those students who have emergency medication such as inhalers, epi-pens, or insulin/glucagon, please be prepared with orders from your child’s primary healthcare provider allowing for those medications to be used and self-carried at school. There are school medication forms available, we will also accept your child’s health care provider’s forms” (see attachments, “Authorization for Admin of Meds” and “Self-Medication Release Form”).
Meningococcal:
All 12th grade students MUST HAVE proof of having been given the Meningococcal vaccine after the age of 16 in order to attend school.
New York State law requires parents/ guardians to give the school an immunization (shot) record that shows their child has received or has an appointment to receive the required vaccine (shot) in order to attend school. This record may be from a health care provider, health department, or an official immunization record from the child's former school. The record must include:
1. Name of the vaccine
2. Date vaccine given
3. Who gave it, along with their title; or where it was given if at a clinic
Please contact your child's health care provider as soon as possible to schedule an appointment to get the vaccine so that your child may attend school in the fall.
