Health Screening Forms
Other Forms & Policies
*If you are unable to obtain a 2020 Physical Exam and Park Shore has your 2019 on file, Park Shore is able to accept the 2019 Physical Exam & Immunization Schedule, as long as all information remains the same. YOU the parent/guardian must sign the forms indicating that there are no changes from last year or make a note of any changes. If the change requires a physician’s order, such as a prescription (Written Medical Consent Form), Park Shore requires the healthcare provider (physician) to complete and sign an up to date Written Medical Consent form. Remember parent signature & camper information must be completed, as well.
How to Submit Forms
- FAX: 631-499-6917
- Email: firstname.lastname@example.org
- Drop Off
- Mail: Park Shore Country Day School, 450 Deer Park Road, Dix Hills, NY 11746. ATTN: Bookkeeping