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Doctor Checking a Form

Complete an online 
child enrollment application (see below):

CLICK BELOW: Enrollment/Registration 
Application in English 
 

HAGA CLIC (debajo):
Solicitud (de inscripción)/Registro     
en español

After enrolling your child online, email the corresponding documents to docs@hseoc.org

ENROLL
IN PERSON: 
 


Stop by to pick up an application at:

49 Gidney Avenue,
Newburgh, NY

CALL/
EMAIL US

​

 

  CALL: 

Call us at

845-562-0380

​

 

 

  EMAIL : Email us at

enroll@hseoc.org

to make an appointment .

Click button below to enroll your child

 Additional Enrollment Information & Forms 

PLEASE NOTE: Your child's physical (medical) should:
1. Be up to date, dated within 1 year of entry date.
2. Include a tuberculosis test (ppd) completed & signed by medical provider.
2. Have immunization records attached.
                                               FORMS

mEDICAL FORM

Your child's physical (medical) should:

1. be up to date, dated within 1 year of entry date.

2. include a tuberculosis test (ppd) completed & signed by medical provider (a follow up visit may be required).

3. Have immunization records attached.                                            

DENTAL FORM

The American Dental Association and the American Academy of Pediatrics say that every child should visit a dentist by age 1 – or as soon as the first tooth appears. This “well baby visit” teaches parents and caregivers how to care for their children’s teeth and help them remain

cavity-free.

ELIGIBILITY

Documents to determine eligibility

HOUSING FORM

Housing Questionaire

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