Health examination schedule for Pine Bush students

New York State law requires a health examination including body mass index for all students entering the school district for the first time and again in grades 1, 3, 5, 7, 9 and 11.

The examination must be completed by a New York State licensed physician, physician assistant or nurse practitioner and on the approved New York State Education Student Health Examination Form for School.

The Department of Health will not be providing a grace period for physicals and immunizations. Students must be up-to-date by the opening of school.

A dental certificate, which states your child has been seen by a dentist or dental hygienist, is also asked for at the same time. The school will provide you with a list of dentists and registered dental hygienists who offer dental services on a free or reduced cost basis if you ask for it.


  • A copy of the health examination must be provided to the school within 30 days from when your child first starts at the school and when your child starts  grades 1, 3, 5, 7, 9 and 11. If a copy is not given to the school within 30 days, the school will contact you.
  • If your child has an appointment for an exam during this school year that is after the first 30 days, please notify the health office with the date.
  • For your convenience, a physical exam form and dental certificate for your health care providers are linked.
  • Communication between private and school health staff is important for safe and effective care at school. Your healthcare provider may not share health information with school health staff without your signed permission. Please talk to your provider about signing their consent form for the school at the time of your child’s appointment for the examination.

We suggest you make copies of the completed forms for your records before sending them to the school health office. Forms may also be faxed to your child’s school health office.

Pine Bush School District Nurses

Pine Bush High School – 845-744-2031 ext. 3610; fax 845-744-4094

Marybeth Reinfried
Jill Gribbin

Crispell Middle School – 845-744-2031 ext. 4410; fax 845-744-4074

Diane E. Mancuso

Circleville Middle School – 845-744-2031 ext. 5610; fax 845-744-4076

Linda Loennecker

Circleville Elementary School – 845-744-2031 ext. 5510; fax 845-744-4075

Laura Stein

Pakanasink Elementary School – 845-744-2031 ext. 5710; fax 845-744-4077

Patricia Fernandez

Pine Bush Elementary School – 845-744-2031 ext. 4310; fax 845-744-4076

Vicki LaRosa

EJ Russell Elementary School – 845-744-2031 ext. 4210; fax 845-744-4072

Patricia Soutar

Pine Bush Central School District
State Route 302, Pine Bush, NY 12566
Phone: (845) 744-2031
Fax: (845) 744-6189
Amy Brockner
Interim Superintendent of Schools
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