Form 205 Child and Adolescent Health Examination Form - New York City

Form 205 Child and Adolescent Health Examination Form - New York City

What Is Form 205?

This is a legal form that was released by the New York City Department of Education - a government authority operating within New York City. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form 205?A: Form 205 is the Child and Adolescent Health Examination Form.

Q: Who is required to complete Form 205?A: Parents or guardians of children and adolescents in New York City are required to complete Form 205.

Q: What is the purpose of Form 205?A: The purpose of Form 205 is to ensure that children and adolescents receive medical examinations and necessary immunizations.

Q: Who can complete Form 205?A: The child or adolescent's primary care provider, school-based health center, or other health care provider can complete Form 205.

Q: What information is required on Form 205?A: Form 205 requires information about the child or adolescent's health history, physical examination findings, and immunization records.

Q: When should Form 205 be completed?A: Form 205 should be completed before the child or adolescent starts school or within 30 days of enrollment.

Q: What happens if Form 205 is not completed?A: Failure to complete Form 205 may result in the child or adolescent being excluded from school.

Q: Are there any exemptions to completing Form 205?A: Yes, there are exemptions for children and adolescents who are homeless, in foster care, or have a religious or medical exemption.

Q: Can Form 205 be completed in a language other than English?A: Yes, Form 205 can be completed in multiple languages.

Q: Is there a fee for completing Form 205?A: No, there is no fee for completing Form 205.

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Form Details:

  • Released on June 1, 2016;
  • The latest edition provided by the New York City Department of Education;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form 205 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the New York City Department of Education.

Download Form 205 Child and Adolescent Health Examination Form - New York City

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