This form is for public schools of Port Washington and other surounding towns. Purchase a separate form for each child. Your completed forms will be emailed to you directly from Flatiron Pediatrics’ encrypted email addresses within 1 to 2 business days.

EXPEDITED NYS School Health Examination Form

$42.00

Please enter child's name and birthdate. (You must purchase separate forms for each child.)

Quantity

This form is for public schools of Port Washington and other surounding towns. Purchase a separate form for each child. Your completed forms will be emailed to you directly from Flatiron Pediatrics’ encrypted email addresses within 1 to 2 business days.

EXPEDITED NYS School Health Examination Form

Description