Please read the full letter included in this communication.

As per the NY State Education Department and the New York State Department of Health, the Putnam Valley Central School District has KI (Potassium Iodide) available in the event the County or State Department of Health recommend the use of KI in an emergency.  

You only need to complete this form if you DO NOT want the school to provide your child with KI (potassium iodide) in a radiological emergency.  Your electronic signature must be submitted by October 1.

If you do not return this form by October 1 and health officials recommend KI use, your child will receive KI.

If you have any concerns regarding the emergency use of KI or questions on your child’s health and
the use of KI, please discuss this with your child’s health care provider. If you have any further
questions about the school program, please contact your school nurse.