Forms for Families

School-based COVID Testing CONSENT FORM


Keeping school buildings open depends upon awareness of and immediate action on any COVID-19 concerns in our buildings. To do this, we need students and staff in our buildings to get tested! That’s why we’re bringing testing directly into schools beginning in October 2020. Our testing partners will come to district schools, every month, and test a randomly selected group of staff and students from grades 1-12. The number of people to be tested will depend on the size of the school.

This testing initiative is organized by our partners at NYC Health + Hospitals, the New York City Department of Health and Mental Hygiene (DOHMH), and the NYC Test & Trace Corps. In addition to the random monthly testing, we are also working hard to offer in-school testing later this year for students who are showing symptoms of COVID-19, or are a confirmed close contact of someone in the school who has tested positive. The test is easy, quick, and safe. Instead of the “long swab” that goes in the back of the nose, this test is a short, small swab (like a Q-Tip) that goes just in the front of the nose.. Later this school year, it is possible that tests will be administered by collecting a small amount of saliva (spit). The whole test will take about two minutes.

  • In order for us to administer a COVID-19 test to your child, we need your consent. We strongly encourage you to sign and return the consent form, below, as soon as you receive it from your school.
  • If you have a NYC Schools Account (NYCSA), you can complete the consent form electronically through the web application. If you revoke consent for testing through NYCSA, please notify your child’s school as well.
  • Read the letter from Chancellor Carranza about the testing (translations also available).

Health Clinic - REQUIRED

School Based Health Clinic at FMHS - Information and Required Forms

We are extremely luck to have a Mt. Sinai School Based health Clinic at the Brandeis High School campus.  This clinic provides all kinds of services to students with consent and emergency services to FMHS students in crisis.  Please review the information shared here and complete the related consent form.  You can return the consent forms to FMHS via email or post attention to Caren Austen.

Materials Linked Below: 

General Letter about clinic (Spanish and English)

REQUIRED Consent Forms (Spanish and English to print and complete and fillable form for English)

Flu information and consent forms (Spanish and English)