Camp & School Forms

We will complete a standard NYC department of health form for your child at your child’s annual check up. This form may be copied and given to your child’s school and summer camp. If you require an additional form or a specific form to be completed, please provide us with the form and a self addressed stamped envelope. Please allow 2 weeks for us to complete the form. There is a $10 fee for each form completed. Payment is due when the form is brought to our office.

Office Hours
Monday:9:00 AM - 5:00 PM
Tuesday:9:00 AM - 5:00 PM
Wednesday:9:00 AM - 5:00 PM
Thursday:9:00 AM - 5:00 PM
Friday:9:00 AM - 5:00 PM
Saturday:10:00 AM - 2:00 PM

Contact Us

Phone: (212) 535-3131
FAX: (212) 535-4159

For non-medical questions: [email protected] For non-urgent medical questions you may email your provider directly: And then you can list all the email addresses from the “Our Providers” page here