Student Health Services / Student Accident Insurance and Forms

School Accident Program (SAP)

The District provides coverage for school accidents through Philadelphia Indemnity Insurance Company. In the event that a student is injured on District property during school hours or during school sponsored and supervised activities (including athletics), the nurse, school secretary, coach, or other staff who may have WITNESSED the incident should be notified in order for a Accident Claim form to be started and sent home. Parents / Guardians need to complete part ll of this form, sign/date it and send it to the address located on top of the form. All charges should be submitted to your primary medical or dental insurance first.

Student Accident Claim Filing Instructions

Student Accident Claim Form

Claim Form Instructions (PARENT)

Claim Form Instructions (SCHOOL)

Please call the Office of Student Health Services at (585)262-8497 with any questions.

The Rochester City School District does not discriminate on the basis of an individual's actual or perceived race, color, religion, creed, ethnicity, national origin, citizenship status, age, marital status, partnership status, disability, predisposing genetic characteristics, sexual orientation, gender (sex), military status, veteran status, domestic violence victim status or political affiliation, and additionally does not discriminate against students on the basis of weight, gender identity, gender expression, and religious practices or any other basis prohibited by New York State and/or federal non-discrimination laws in employment or its programs and activities. The District provides equal access to community and youth organizations. NYS CR Part #154 requires the District to provide communications to ELL families in the home language that they best understand. In order to request interpretation or translation services, employees may visit www.rcsdk12.org/translationservices. For emergencies or immediate communication needs, please use the Language Line at 1-866-874-3972. School secretaries in each school or program can provide the access code for this service.

School Accident Program (SAP)

Please call the Office of Student Health Services at (585)262-8497 with any questions.