Required Forms

• Unified Intake Form
• Scholar Agreement
• Income Verification Form
• Summer Camp and Afterschool Opt-in Form
• CH205 Health Exam Form

Supplementary Forms

• DYCD Forms
• Summer Games Permission Slip
• PAI Health Center Enrollment Packet – English
• PAI Health Center Enrollment Packet – Spanish
• PAII Health Center Enrollment Packet – English
• PAII Health Center Enrollment Packet – Spanish
• DOE FAQs School Based Health Center