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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

Register
IN PERSON 
 


Stop by to pick up an application at:

49 Gidney Avenue,
Newburgh, NY

DOCUMENTS- You will have the option to upload your documents at the end of the application or at a later time, using the link emailed to you.

DOCUMENTOS: Tendrá la opción de cargar sus documentos al final de la solicitud o en un momento posterior, utilizando el enlace que le enviaremos por correo electrónico.

CALL/
EMAIL US

​For questions or  to make an appointment:

 

CALL: 

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EMAIL: 

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 Additional Enrollment Information & Forms 

Medical Documents Needed

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

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

MEDICATION/
Non Medication CONSENT 

This form may be used to meet the consent requirement for the administration of medication  

This form may be used to meet the consent requirement for the administration of over the counter products

Individual Allergy & Anaphalaxis Emergency plan

This form is to be completed for a child with a known allergy

Individual Healthcare Plan

Form to document an individual health care plan developed for a child with special health care needs

sleeping & Napping arrangement

Sleeping and Napping Arrangement between parent and program.

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The opinions, findings, conclusions, and recommendations expressed are those of
Head Start of Eastern Orange County, Inc. and do not necessarily reflect the views of
the Administration for Children and Families and the Office of Head Start.
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