CLICK THIS DOCUMENT TO FOLLOW INSTRUCTIONS FOR

ONLINE COVID-19 CONSENT FORMS. 

SYMPTOMS AND PROCEDURES POLICY FOR COVID-19

 

 

See the link below for how to set up the health screening process. 

A link to the paper forms will be provided.

Health Screening Video English

Health Screening Video Spanish

Health Screening Video Chinese

Click here for the Health Screening Forms

Choose the language you need 

They are in PDF form and need to be printed.

*DOE Health Screening Links for Families:

Complete the health screening either online 

or using the paper forms as listed above. 

In addition please note the return addresses:

DIABETIC MEDICATION FORMS are to be sent to:

• DMAFs - DMAF Coordinator

New York City Department of Health & Mental Hygiene

Office of School Health

Gotham Center

42-09 28th Street, CN-25

Queens, New York 11101-4714

• All other MAFs are to be sent to the attention of the Director of Nursing to the below address:

Director of Nursing

New York City Department of Health & Mental Hygiene

Office of School Health

Gotham Center

42-09 28th Street, CN-25

Queens, New York 11101-4714

Helpful reminders:

• Please remember to sign and complete the back of the form

• Keep a copy for yourself

• Do not return to the school or nurse

© Copyright 2020 by PS/IS119Q

Proudly created with Wix.com

Contact Us

Tel: 718-326-8261

Address

74-01 78th Ave.

Glendale, NY 11385