Parent and Health Care Provider Notification Resources

Parental Notification Resources 

To obtain passive parental permission, schools may provide notice to parents via the school newsletter, website, the pre-Kindergarten or Kindergarten registration packet, and/or other reasonable means.

The forms below are for parents who wish to opt out of reporting.
Sample Parental Notice- Opt-Out for 2025-2026 School Year (English) (NYSDOH 4/25)
Sample Parental Notice- Opt-Out for 2025-2026 School Year (Spanish) (NYSDOH 4/25)

Health Provider Notification Resources

It is recommended, but not required, to follow up with the health care provider if they omit the WSC/BMI from the Health Appraisal.
Sample Fax to HCP Who Omitted WSC/BMI on the NYS School Health Exam Form Customizable Word Document

Page Updated 4/30/25