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 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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