NYC New Admission (HEALTH) Examination Form

Our After-School and Summer Day Camp are licensed by the NYC Department of Health and Mental Hygiene (NYC DoHMH). Every camper is required to submit the Examination Form below.

Please download the form below, and bring it to your health care provider.

Your child’s school can also provide you with their copy, if the examination form is recent by 9 months.

Please bring this Examination Form with you at our next registration date.