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Dear Parent or Guardian:
We are happy to inform you that your child’s school has a School Based Health Center (SBHC)! The SBHC is staffed by licensed professionals from Family Health Centers at NYU Langone.
Please know that your child can use the School-Based Health Center and see their other doctors as well. Signing this consent does not change your child’s insurance, does not change your child’s primary doctor, and does not affect the number of times your child can see their primary doctor. At the School Based Health Center, your child can receive the services listed below at no cost, regardless of insurance status. However, the SBHC is allowed to bill insurance if your child has health insurance. There are no co-pays for SBHC services, and you will never receive a bill. If your child has health insurance, please complete the insurance information section on the attached consent form.
School Based Health Center Services include:
Primary Care Services
Physical Exams (including for sports and working papers)
Treatment for acute and chronic conditions
Vaccinations and Laboratory Tests
Medications and Prescription Management
Screening for vision, asthma, and other medical conditions
For Adolescents: Age-appropriate reproductive health services
Telemedicine Virtual Visits
Mental Health Counseling
Dental Services (where available)
The School Based Health Center is located in your child’s school and is open every school day between the hours of 8:00 am – 4:00 pm. Access to an on-call provider is also available on weekends and after hours.
To register your child, please read, complete, and sign the attached enrollment form. You or your child can return the completed enrollment form to the School-Based Health Center. If you have any questions, please call us at (347) 377-3170.
As part of our registration process to properly identify students, patients’ faces will be photographed as part of their electronic medical records. These images will be securely stored and HIPAA compliant. These images will not be shared outside of NYU Langone Health.
We look forward to meeting you and providing health services to your child!
Please download the form in your preferred language and fill it out on your computer/device.
Return via email to Aaron.But@nyulangone.org or print and return to Mr. Crawford.
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