Screening Charts | Forms | Letters | Notifications
Effective 7/1/2018, the mandated grades for screening changed.
SCREENING FORMS, CHARTS:
New NYS & NYC Screening & Health Examination Requirements Chart- Effective 7/1/2018. Dental certificate requests should align with the new health exam grade levels (Created 1/2018)
HEARING:
Hearing Screening Parent/Guardian Notification Results and Referral Form (5/2018)
Classroom Teacher Observations- Hearing (5/2018)
SCOLIOSIS:
Scoliosis Screening Parent/Guardian Notification Results and Referral Form(5/2018)
VISION:
Vision Screening Parent/Guardian Notification Results and Referral Form (10/2018)
Classroom Teacher Observation - Vision (5/2018)
Sample Delegation
Sample School Medical Director Delegation Statement- Written delegation is required for review of health examinations, interval health history for athletic, and screening students for vision, hearing, & scoliosis per Education Law, Article 19, section 905,(1). This sample may be customized by the district to comply with that requirement.
Updated 12/13/18
