School/Camp Note Request

Plan ahead for summer camp and the 2025-26 school year

and request needed medication authorizations now. We are processing requests now for summer camps and the upcoming school year. Authorizations will be valid for the entire school year. Please don’t wait to submit your request. The closer we get to the start of school, the volume of requests will increase and the turnaround time will as well.

Medication use authorizations can be requested online using the link below. For all requests, we’ll need the following information:

• Patient Name
• Patient Date of Birth
• Type of note needed (daycare/pre-school*, school K – 12, before or after-school program*, camp) *NYS forms
• Reason for Medication
• Current weight (for antihistamine and epinephrine)

Summer camp notes will receive priority.

School note requests received by 8/1/25 will be sent by 8/8/25.

*** Reminder: Notes will no longer be mailed ***

Completed medication notes will be returned via our FollowMyHealth Patient Portal.

Click Here to Create a FollowMyHealth Patient Portal