504 Accommodations
Authorization for Release of Health Information Pursuant to HIPAA
Guidelines for Health Services and Section 504 Accommodations (School Year 2023-2024)
General Medication Administration Form (School Year 2023 – 2024)
Request for Health Services/Section 504 Accommodations Parent Form with HIPAA Authorization (School Year 2023-2024)
Request for the Provision of Medically Prescribed Treatment (Non-Medication) for (School Year 2023 – 2024)
Medical Accommodations Request Form with Addendum (School Year 2023 – 24)
Parent Letter – 504 Accommodations Reauthorization (School Year 2023 – 2024)
Parent Letter – 504 Accommodations New Students (School Year 2023 – 2024)
Notice of Non-Discrimination under Section 504
504 Accommodation Plan Template
Remote Learning Addendum to Section 504 Plan
Pre Signature Plan Notice
Diabetes 504 Accommodation Plan Template
504 Team Meeting Scheduled Notice
504 Team Meeting Attendance
504 Accommodations Student and Family Guide
Notice of Eligibility Determination
Guidance on DOE Student After-School/Extracurricular Para & Nursing Requests
Trip Nurse Policy
General
Medical Room Standards
CH205 Child Adolescent Health Examination Form
Health Insurance Information in ATS
OT/PT Medicaid Principal Protocol letter
OT/PT Parent Notification Letter
AED
Health Director Contacts
The Facts about Head Lice
Lice Policy Memo
Individual Lice Letter
Class Lice Letter
School Based Health Center Parental Consent Form
School Flu Letter for Parents
Flu Information for Parents
Parents Fight Flu Flyer
Parents Fight Flu Flyer 11 x 17
Travel Health Factsheet for Parents
Allergy and Asthma
Allergies/Anaphylaxis Medication Administration Form (School Year 2023 – 2024)
Asthma Medication Administration Form (School Year 2023 – 2024)
Standing Order for Administration of Epinephrine for Nurses
Training Program for Unlicensed School-Personnel to Administer Epinephrine
Diabetes
Parent Resource: Diabetes Care for Students in DOE Public Schools
Diabetes Medication Administration Form (School Year 2023-2024) - Updated September 2023
Diabetes Team Support Request Form
Bus Driver & Attendant Quick Action Guide
Completed by school 504 Coordinator, in consultation with the parent and school or OSH nurse, and provided to the student’s bus driver and (if applicable) attendant.
Immunizations and COVID-19 Vaccines
COVID-19 Vaccine Eligibility Letter for Students Ages 5 and Older
- COVID-19 vaccine eligibility letters for students ages 12 and older are available in the following languages, Arabic, Bengali, Chinese, English, French, Haitian Creole, Korean, Russian, Spanish, and Urdu.
COVID-19 Vaccine Eligibility Letter for Students Ages 12 and Older
- COVID-19 vaccine eligibility letters for students ages 12 and older are available in the following languages, Arabic, Bengali, Chinese, English, French, Haitian Creole, Korean, Russian, Spanish, and Urdu.
Principal Letter to Families Regarding June 30 Immunization Deadline, April 2021
Parent Letter for Students not Fully Immunized, October 2019
Principal Letter for Immunization Policy Update, October 2019
- English
- Additional Frequently Asked Questions About School Vaccination Requirements from New York State Department of Health
Principal Letter for Immunization Policy Update, June 2019
- English
- You can also view the Frequently Asked Questions About Legislation Removing Non-Medical Exemptions from School Vaccination Requirements from New York State Department of Health
Parent Letters, Policy Change, for Warnings and Exclusions
Please see the family site for all updates on Immunization Exceptions.
Letter to Parent - Non-immunized Student Marked Absent
SH88 Parents Exclusion Letter (School Year 2023-2024)
SH89 Parents Warning Letter (School Year 2023-2024)
Immunization Chart for Families
Immunization Guidelines for Schools
SH65 Medical Immunization Requirements
Medical Exemption Process for Immunizations
Medical Request for Immunization Exemption
Medical Request for Immunization Exemption for COVID-19 Vaccine
Request for Review of Serology or Documentation of Varicella Disease
Serology Review Process
Guidelines for Entering Student Immunizations into ATS
Mental Health
Mental Health Resource flyer
Suicide Prevention Flyer
Mental Health First Aid Handout
"There's Help All Around You" flyer
English
Oral Health
Dental Services in New York City Schools
Available Dental Programs One-Pager
School-based Health Center Dental Forms
School-based Health Center Dental Policy and Procedures
Dental Referral Form
Mobile Oral Health Programs
Starting an Oral Health Program
Picking a Dental Provider
Picking a Dental Space
Dental Visit Prep
Dental Provider Consent Forms
Columbia DentCare Consent Form
Ezra Medical Consent Form
First MedCare Consent Form
NYU College of Dentistry Consent Form
NYU Langone Consent Form
Smile NYC Consent Form
St. Barnabas Consent Form
Seizure
Seizure Medication Administration Form (School Year 2023 – 2024)
Sexual Health
Sexual Health Education Parent Notification Letter
HIV/AIDS Parent Notification Letter: Grades K - 12
Notifying parents about HIV/AIDS lessons
Condom Availability Program Parent/Guardian Notification Letter
HIVAIDS Parent Notification Letter: Grade 6 - 12
Notifying parents about HIV/AIDS and Sexual Health Education
Sports
Sports History Form and Recommendation for Participation in Physical Education and Sports
Substance Abuse
Drug Myths and Facts
Frequently Asked Questions (FAQ): E-cigarettes
Vision Health
Eye Report and Recommendation Form (E12S)
Vision Screening Policy Statement
Vision Screening Handout
- Arabic, Bengali, Chinese (traditional), English, French, Haitian Creole, Korean, Russian, Spanish, Urdu
Passive Consent Form
- Arabic, Bengali, Chinese (traditional), English, French, Haitian Creole, Korean, Russian, Spanish, Urdu
Vision Screening Letter to Parents
- Arabic, Bengali, Chinese (traditional), English, French, Haitian Creole, Korean, Russian, Spanish, Urdu