School Health Forms

Emergency Blue Card

Please fill out the Emergency Contact Information form to ensure we have the most updated information for your child.

Family Income Inquiry Form

Please complete the NYC DOE Family Income Inquiry Form using the link below. If you have any questions, please reach out to our Parent Coordinator, JC DiCicco at jdicicco@schools.nyc.gov

 

Family Income Inquiry Form

DOE Health Screen Links

DOE Health Screening Links for Families: Complete the health screening either online or using the paper form

Health Form Videos

Health Services/Section 504 Accommodations 

The Office of School Health manages the processes surrounding students needing medication administration, medically-prescribed treatment, glucose monitoring, insulin pump maintenance, and other Section 504 and Individualized Education Program (IEP) services.

Several health forms are used in the New York City public schools. Using these forms helps assure that children get the care, services, and accommodations they need during the school day.