NYCDOE Health Forms and Notices
CLICK THIS DOCUMENT TO FOLLOW INSTRUCTIONS FOR
ONLINE COVID-19 CONSENT FORMS.
POLICY ON SYMPTOMS AND PROCEDURES FOR
COVID-19 DIAGNOSIS AT 119
Online Health Screening Form
Paper copy of Health Screening Form
*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
Office of School Health Forms:Asthma, Allergy and Medication
NYCDOE Covid-19 Updates