View an important letter from the District Health Offices

Goshen Central School District Health Office Changes During Pandemic

Dear Parents and Guardians,

First, let us welcome you and your children back. This year our offices are going to look a little different. Non emergent visits to the Health Office will not be allowed due to the risk of exposure. These are things such as personal grooming, chapped lips, lotion for dry skin, needing a “break.” Please have this talk with your child. We truly miss them but we need them to  understand that this is for their own safety.

If your child has presented to the School Nurse with the following symptoms that are consistent with being identified as a concern for COVID-19, you will be called to pick up your child immediately as per NYSED law 906. Please be advised that should your child exhibit any of the below symptoms they will be placed in an isolation room, again as per NYSED/DOH guidelines. The longer your child is here, the more at risk we put our students and staff. We appreciate your understanding.

Please have a back up plan or two in place prior to the start of the school year.

  •  Fever or chills (100 degrees of greater)
  • Cough
  • Shortness of breath or difficulty breathing
  • Fatigue
  • Muscle or body aches
  • Headache
  • New loss of taste or smell
  • Sore throat
  • Congestion or runny nose
  • Nausea and/or vomiting
  • Unexplained rash
  • Pink eye
  • Diarrhea


As per the NYSED, the return to school/learning protocol must include at a minimum documentation of evaluation by a healthcare provider (healthcare provider note clearing a person to return to school).

  • For a COVID-Related Symptom: If a student/staff/faculty member displays a COVID-19-related symptom, they must obtain a healthcare provider note to return to school.
  • For Pertinent Exposure: Examples of this could include recent travel including international travel or travel to a state listed on the NYSDOH travel advisory website where precautionary quarantine should be
    completed for 14 days from the date when the person left the restricted state or after completion of mandatory quarantine following exposure to a confirmed COVID-19 case.
  • Following COVID-19 Diagnosis and Subsequent Isolation Period: If a student/staff/faculty member tests positive, they must have a health care provider note AND the following conditions must be met: symptom resolution, at least 10 days have passed since the onset of symptoms for symptomatic individuals or 10 days from the collection date (test date) of the positive COVID-19 test for asymptomatic individuals; AND at least 24 hours have passed since the resolution of fever without the use of fever-reducing medication. A negative COVID-19 test will not be required, unless specifically requested by the Department of Health, but may be provided in addition to the health care provider’s note.

Healthcare provider notes must include AT MINIMUM the following information:

  1. The individual is cleared to return to school/work
  2. The individual has an alternate diagnosis unrelated to COVID (for scenario number 1 above) OR the individual has no subsequent illness after completing their quarantine period (for scenario 2 above) OR the individual has successfully completed their isolation period and meet the current CDC clearance guidance (for scenario 3 above).
  3. The alternate diagnosis does not have to be listed in the note, but may need to be discussed confidentially with the school nurse and/ or the local health department.

The health care provider clearance note will assist with mitigating the potential risk of exposure to COVID-19 in a congregate school environment, as we work collectively to ensure the health and safety of our students, faculty, staff and residents.


Current CDC Guidance recommends the use of spacers/valved-holding chambers and an MDI instead of nebulizer delivered asthma medication when feasible, to reduce the chance or aerosolization and transmission of COVID. Please ask your child’s physician.

Current CDC Guidance recommends the use of spacers/valved-holding chambers and an MDI instead of nebulizer delivered asthma
medication when feasible, to reduce the chance or aerosolization and transmission of COVID. Please ask your child’s physician.

Should your child be in need of a nebulizer, we will be administering any nebulizer treatment outdoors as this is the safest area.

If your child is able to self carry an inhaler, we are going to ask them to remove themselves from the classroom as they have to remove
their mask to administer. Of course at any time, the student may come to the Health Office and go outside to take their inhaler.


Please be aware that mandated immunizations are still required by NYS during this pandemic regardless of whether our District has hybrid, remote or full in school learning. Immunizations are due within the first 14 days of school or your child will not be allowed to attend hybrid, remote or in school learning. All of the required pre-K vaccines should be completed or in process as per NYS guidelines. Tdap is due in 6th grade or when your child turns 11, 7th and 12th grade requires meningococcal vaccine. There are
no exemptions for immunizations except medical which needs to be renewed every year.


Health physicals for grades K, 1, 3, 5, 7, 9, 11 are mandated and should be sent to the Health Office within the first 30 days of school. Mandated physicals can be dated one calendar year from the beginning of the previous school year. In other words, any physical dated after September 4, 2019 would be acceptable.

Thank you,

Goshen Central School District Nursing Department