New York Form OCFS-LDSS-2000 is the Medical Statement for Child Day Care that every child enrolled in a New York State licensed or registered child care program must have on file, signed by the child’s parent or guardian and a licensed health care provider, before or shortly after the child begins care. The form proves the child is healthy enough for group care, lists immunizations under New York Public Health Law §2164, and documents lead screening, allergies, and any special health needs the child care program must know about.
Missing or expired medical statements are one of the top citations issued by the New York State Office of Children and Family Services during licensing inspections, and an estimated 1 in 5 enrollment files reviewed during routine OCFS visits contain a medical statement that is either incomplete, past its one-year validity window, or missing a required signature. A child whose OCFS-LDSS-2000 is not on file within 30 days of enrollment under 18 NYCRR Part 418 can be excluded from the program until the form is corrected.
Here is what you will learn in this guide:
- 📋 How to complete every box on Form OCFS-LDSS-2000, from the child’s demographics to the provider’s signature
- 🩺 Which immunizations, screenings, and lab results must be attached under New York law
- 👨👩👧 Three full walk-throughs covering a healthy toddler, a child with food allergies, and a school-age child with asthma
- 📬 How to submit the completed form to your child care program and what proof to keep
- ⚠️ The most common mistakes parents and providers make, and the exact consequence of each one
The current version is the OCFS-LDSS-2000 (Rev. 10/2022), available directly on the OCFS forms library as a fillable PDF.
What the Form Is and Who Must File It
Form OCFS-LDSS-2000 is the standardized medical statement required by the New York State Office of Children and Family Services for every child enrolled in a licensed day care center, registered family day care home, group family day care home, school-age child care program, or registered legally exempt group program. The form is created under the authority of 18 NYCRR Parts 413 through 418, which require child care providers to keep current medical records on file for every enrolled child. The agency that receives and reviews the form is the child care program itself, not OCFS directly, but OCFS licensors review these forms during every inspection.
The form has two main parts. Part I is completed by the parent or guardian and covers identifying information, medical history, allergies, medications, and special needs. Part II is completed by a licensed health care provider — a physician, nurse practitioner, or physician assistant — who confirms the child is in suitable health for group care and lists immunizations and screenings.
The form must be filed for every child entering care, including infants in family day care, preschoolers in centers, and school-age children in after-school programs. In New York City, programs permitted by the NYC Department of Health and Mental Hygiene under Article 47 also accept this form, although DOHMH programs may layer on additional health forms specific to NYC. Foster children placed by a local department of social services and children receiving subsidized care under the New York Child Care Assistance Program must also have the form completed.
Filers commonly believe the form is optional for short-term or part-time care. That belief is wrong: the medical statement is required regardless of how many hours a week the child attends.
Before You Start: Documents and Information You Need
Gather every record below before you sit down with the form, because Part II must be signed by a health care provider after a physical exam dated within the past year. Walking into the pediatrician’s office unprepared is the single biggest cause of delayed enrollment.
- Child’s full legal name, date of birth, and home address. The name must match the birth certificate on file with the program; a mismatch will trigger a record-keeping deficiency at the next OCFS inspection.
- Parent or guardian contact information, including a daytime phone, email, and emergency phone. Programs cannot accept the form without a reachable parent contact under 18 NYCRR §418-1.11.
- Complete immunization record (NYSIIS printout preferred). New York Public Health Law §2164 requires age-appropriate immunizations; missing doses delay enrollment until a catch-up schedule is in place.
- Lead screening results for children under 6, required under New York Public Health Law §1370-e. Screenings must be done at age 1 and again at age 2.
- Tuberculosis (TB) risk assessment based on the New York State Department of Health TB screening guidance. A positive risk factor requires a follow-up test before enrollment.
- Allergy list with action plans. Each food, drug, insect, or environmental allergen needs an attached action plan signed by the prescribing provider.
- Current medications and dosing schedules. Any medication given during child care hours requires a separate OCFS-6029 Medication Consent Form.
- Special health care plans for asthma, diabetes, seizures, or other chronic conditions. A child with asthma, for example, needs an Asthma Action Plan attached.
- Most recent physical exam date. Part II is only valid if the exam was completed within the past 12 months; an older exam will be rejected.
- Insurance card and provider NPI number so Part II is signed by a verifiable licensee through the NPI Registry.
If any single item above is missing, the form will be incomplete, the program can refuse enrollment, and OCFS can cite the provider during an inspection.
Where to Get the Form and How to Access It
The official, current OCFS-LDSS-2000 is hosted on the OCFS Forms page as a fillable PDF. Always download the form fresh each time, because OCFS updates the revision date when immunization schedules or lead screening rules change, and an outdated form may be rejected during an OCFS inspection under 18 NYCRR §418-1.11.
Parents can also obtain the form three other ways. First, every licensed and registered child care program is required to keep blank copies on hand and give one to enrolling families during the intake meeting. Second, many pediatric offices in New York keep the form in their patient portals because they complete dozens of these every month. Third, your county’s local department of social services can mail you a paper copy if you do not have internet access.
The fillable PDF works in any modern browser or in Adobe Acrobat Reader. You can type Part I on screen, save the file, and email it to your pediatrician to complete Part II electronically. Health care providers using EHR systems such as Epic or eClinicalWorks can import the PDF, complete Part II, and apply an electronic signature that OCFS accepts.
A common misconception is that any general “school physical” form, such as the New York State School Health Examination Form, can substitute for the OCFS-LDSS-2000. It cannot. The school health form is for K-12 enrollment, not licensed child care, and OCFS inspectors specifically check for the LDSS-2000 in each child’s file.
Step-by-Step: How to Fill Out Form OCFS-LDSS-2000 Line by Line
The walkthrough below uses the exact field labels and section headings printed on the Rev. 10/2022 version of the form. Sample entries are italicized so you can see exactly what each box should look like when finished.
Part I, Box 1: Child’s Name (Last, First, Middle)
The form asks for the child’s full legal name as it appears on the birth certificate. Write the last name first, then a comma, then the first name, then the middle name. Use all capital letters if the form instructions suggest it, otherwise standard capitalization works.
For example, LOPEZ, MARIA ELENA is how Maria Elena Lopez would appear in Box 1. If the child has a hyphenated last name, include the hyphen exactly as it appears on the birth certificate, such as SMITH-JOHNSON, AIDEN.
A common edge case is a child who uses a different name socially than legally. The legal name still goes in Box 1; a nickname can be noted in the “Comments” section later. A common mistake is writing the parent’s last name when the child has a different surname, which causes a mismatch with the program’s enrollment file and triggers a record correction during inspection. The misconception that “preferred name” can replace legal name is wrong, because OCFS records must match official identity documents.
Part I, Box 2: Date of Birth
Enter the child’s date of birth using the MM/DD/YYYY format printed on the form. Leading zeros are required for single-digit months and days, so March 7, 2022 is written as 03/07/2022, not 3/7/22.
Maria Lopez, born March 14, 2022, writes 03/14/2022 in Box 2. The edge case here is twins or multiples enrolling together; each child gets a separate OCFS-LDSS-2000 with their own date of birth, even if they share every other detail.
The most common mistake is writing the date in DD/MM/YYYY format, which is common in many countries but reverses the meaning under U.S. conventions. The direct consequence is that an immunization due date calculator built into OCFS systems will flag the child as overdue, even when they are current. The misconception that age “in years” is enough is wrong, because immunization schedules depend on exact months.
Part I, Box 3: Sex
The form provides check boxes for Male and Female. Check the box that matches the child’s sex as recorded on the birth certificate.
For example, ☒ Female would be checked for Maria Lopez. The edge case involves children whose gender identity differs from their assigned sex at birth; OCFS guidance, consistent with the New York State Division of Human Rights, permits notation in the Comments section but the box itself reflects the birth certificate.
A common mistake is leaving this box blank because the parent is unsure how to answer. The consequence is an incomplete form that the program cannot accept. The misconception that this box is optional is wrong; it is a required demographic field used for medical risk calculations such as growth charts.
Part I, Box 4: Home Address
Write the child’s primary residential address, including street number, street name, apartment number, city, state, and ZIP code. Do not use a P.O. Box, because the program must have a physical address for emergencies.
A correct entry looks like 742 Evergreen Terrace, Apt 3B, Albany, NY 12203. If the child splits time between two households after a custody arrangement, use the address where the child sleeps the majority of nights and note the secondary address in the Comments.
The most common mistake is using the parent’s work address. The consequence is that emergency responders dispatched in a true emergency could go to the wrong location. The misconception that an old address is acceptable “for now” is wrong, because programs must be able to reach a parent or guardian within minutes.
Part I, Box 5: Parent/Guardian Name and Contact
Enter the full name of the parent or guardian, a daytime phone, an alternate phone, and an email. If two parents share custody, list both with their contact information.
For example, Carlos Lopez — (518) 555-0142 — carlos.lopez@email.com would be written for Maria’s father. The edge case is a foster parent or kinship caregiver; their contact goes here, with the local department of social services caseworker noted in the Comments.
A common mistake is providing only a work number that screens calls. The consequence is delayed emergency response, which OCFS treats as a serious violation under 18 NYCRR §418-1.11. The misconception that one contact is enough is wrong; the form requires at least two reachable numbers.
Part I, Box 6: Medical History
The form lists conditions including asthma, diabetes, seizures, heart conditions, allergies, vision or hearing problems, and developmental concerns. Check every box that applies and provide details in the space provided.
Aisha, a 5-year-old with mild asthma, would check ☒ Asthma and write Diagnosed at age 3; uses albuterol inhaler as needed; Asthma Action Plan attached. The edge case is a recent diagnosis the parent has not yet discussed with the child care program; disclose it on the form anyway, because hiding a condition exposes the child to harm.
A common mistake is omitting “minor” conditions such as eczema or seasonal allergies. The consequence is that staff are unprepared when a flare-up happens. The misconception that medical history is private and need not be shared is wrong; under 18 NYCRR §418-1.11, the program must keep this on file.
Part I, Box 7: Allergies
List every known allergy and the reaction it causes. Include foods, medications, insect stings, and environmental triggers. If an EpiPen or similar device is prescribed, note it here.
Aiden, an 18-month-old allergic to peanuts and eggs, would have Peanuts — anaphylaxis, EpiPen Jr. prescribed; Eggs — hives. The edge case is a “suspected but not confirmed” allergy; note it as suspected and attach any allergist’s notes.
A common mistake is listing only severe allergies and skipping mild ones. The consequence is cross-contact exposure during snack time, which can escalate. The misconception that “no known allergies” is the same as “allergy-tested” is wrong; the form simply records what the parent knows.
Part I, Box 8: Current Medications
List every prescription and over-the-counter medication the child takes regularly, with the dose, frequency, and reason. Medications administered during care hours require a separate OCFS-6029 consent.
A correct entry: Albuterol HFA inhaler, 2 puffs every 4 hours as needed for wheezing; Flovent 44 mcg, 2 puffs twice daily. The edge case is PRN (“as needed”) medications; specify the symptom that triggers the dose.
The most common mistake is writing only the brand name without dose. The consequence is staff cannot safely administer the medication, and the program will refuse to give it. The misconception that vitamins or herbal supplements do not count is wrong; OCFS treats anything administered as a medication.
Part I, Box 9: Special Health Care Needs
This section asks whether the child has any special diet, equipment, or care plan. Check yes or no and describe the need.
For a child with celiac disease: Yes — Strict gluten-free diet; meal plan attached. The edge case is a child with an IEP or IFSP through Early Intervention or Committee on Preschool Special Education; attach those plans.
A common mistake is checking “no” because the parent does not consider the need “special.” The consequence is the program is unprepared to accommodate it. The misconception that special needs are only for severe disabilities is wrong; any non-typical care need belongs here.
Part I, Signature and Date
The parent or guardian signs and dates the bottom of Part I. The signature must be handwritten or applied electronically through a verified e-signature platform; a typed name in cursive font is not a valid signature.
For example, Carlos Lopez signs his name and writes 09/15/2026 as the date. The edge case is a legal guardian who is not the biological parent; they sign with their name and add “Guardian” after it.
The most common mistake is dating Part I months before Part II, creating an inconsistent record. The consequence is the form looks stale to the inspector. The misconception that a parent can sign Part II is wrong; only a licensed health care provider can.
Part II, Box 10: Date of Physical Examination
The health care provider enters the date of the most recent physical exam in MM/DD/YYYY format. The exam must have occurred within the past 12 months; an older date invalidates the form.
For a physical performed on September 1, 2026, the provider writes 09/01/2026. The edge case is an exam done in another state; an out-of-state physical is acceptable if the provider is licensed and the exam is current.
The most common mistake is entering the date the form was filled out rather than the date of the exam. The consequence is OCFS inspectors flag the form as missing an actual exam date. The misconception that a telehealth visit counts as a physical exam is wrong; the form requires an in-person assessment.
Part II, Box 11: Height, Weight, and BMI
The provider records the child’s height, weight, and calculated BMI percentile from the CDC growth charts. These figures help the program understand any nutritional needs.
For a 5-year-old: Height 43 in, Weight 41 lbs, BMI 15.5, 50th percentile. The edge case is an infant under 24 months; use length instead of height and the WHO charts.
A common mistake is rounding or estimating instead of measuring. The consequence is inaccurate growth tracking. The misconception that BMI is irrelevant for young children is wrong; OCFS uses these numbers to identify children needing nutrition support.
Part II, Box 12: Immunization Record
The provider lists every vaccine the child has received with the date of each dose. The schedule must meet New York Public Health Law §2164 and align with the CDC immunization schedule.
For a 3-year-old: DTaP 4 doses, IPV 3 doses, MMR 1 dose, Varicella 1 dose, Hib complete, PCV13 complete, Hep B 3 doses, Hep A 2 doses, Influenza annual. Attach the NYSIIS printout. The edge case is a medical exemption signed by the provider under §2164(8); religious exemptions were eliminated in 2019.
The most common mistake is leaving doses blank because “the record is in another office.” The consequence is the child is treated as under-immunized and excluded until records arrive. The misconception that catch-up doses can wait is wrong; OCFS requires a documented catch-up plan within 14 days.
Part II, Box 13: Lead Screening
The provider records blood lead test results for children under 6, as required by Public Health Law §1370-e. Tests are required at age 1 and age 2, with risk-based testing through age 6.
A typical entry: Lead test 09/10/2023, result <3.5 mcg/dL. The edge case is an elevated result; the provider notes the result and the follow-up plan, and the program may need an environmental review.
A common mistake is writing “normal” instead of the numeric value. The consequence is an incomplete form, because OCFS requires the actual number. The misconception that lead screening is optional is wrong; it is mandated by state law.
Part II, Box 14: TB Risk Assessment
The provider answers the standardized TB risk questions from the New York State Department of Health and notes whether testing is indicated.
A typical entry: TB risk assessment negative; no testing indicated. The edge case is a child recently arrived from a high-prevalence country; a tuberculin skin test or IGRA is required.
The most common mistake is checking “no risk” without doing the assessment. The consequence is a missed TB exposure. The misconception that all children need a TB skin test is wrong; only those with risk factors do.
Part II, Box 15: Vision and Hearing
The provider notes whether vision and hearing have been screened and the results. For infants, observational screening is acceptable; for older children, formal screening is expected.
For example: Vision 20/30 each eye; Hearing passed audiometry 09/01/2026. The edge case is a child with a known vision or hearing impairment; the provider lists the diagnosis and any accommodations.
A common mistake is leaving the box blank. The consequence is OCFS cites the form as incomplete. The misconception that schools handle vision and hearing later is wrong; child care programs need the baseline now.
Part II, Box 16: Health Care Provider Signature, License, and Date
The provider signs, prints their name, lists their license type and number, NPI, and the date. Confirm the NPI on the NPI Registry if you want to double-check.
A correct entry: Dr. Jane Park, MD, NY License #123456, NPI 1234567890, 09/01/2026. The edge case is a nurse practitioner or physician assistant signing instead of a physician; both are permitted under New York licensure.
The most common mistake is a missing NPI or license number. The consequence is the form is invalid and the child cannot start care. The misconception that a clinic stamp replaces a signature is wrong; a personal signature is required.
Three Filled-Out Examples Using Real Scenarios
The three scenarios below walk three different families through the form from start to finish.
Scenario 1: Maria Lopez, Healthy 3-Year-Old Entering Family Day Care
| Form Section | What Carlos Lopez Enters |
|---|---|
| Box 1 Name | LOPEZ, MARIA ELENA |
| Box 2 Date of Birth | 03/14/2023 |
| Box 3 Sex | ☒ Female |
| Box 4 Address | 742 Evergreen Terrace, Apt 3B, Albany, NY 12203 |
| Box 5 Parent Contact | Carlos Lopez — (518) 555-0142 — carlos.lopez@email.com |
| Box 6 Medical History | No chronic conditions |
| Box 7 Allergies | None known |
| Box 12 Immunizations | Fully up to date per attached NYSIIS printout |
| Box 13 Lead Screening | 09/10/2024, result <3.5 mcg/dL |
| Box 16 Provider Signature | Dr. Jane Park, MD, NPI 1234567890, 09/01/2026 |
Scenario 2: Aiden Smith-Johnson, 18-Month-Old with Food Allergies
| Form Section | What Lisa Smith-Johnson Enters |
|---|---|
| Box 1 Name | SMITH-JOHNSON, AIDEN |
| Box 2 Date of Birth | 02/20/2025 |
| Box 3 Sex | ☒ Male |
| Box 4 Address | 15 Maple Avenue, Buffalo, NY 14201 |
| Box 5 Parent Contact | Lisa Smith-Johnson — (716) 555-0177 — alt (716) 555-0188 |
| Box 7 Allergies | Peanut — anaphylaxis, EpiPen Jr.; Egg — hives |
| Box 8 Medications | EpiPen Jr. 0.15 mg PRN anaphylaxis |
| Box 9 Special Needs | Strict peanut- and egg-free diet; Allergy Action Plan attached |
| Box 12 Immunizations | Age-appropriate per NYSIIS, MMR due at 12 months given 02/25/2026 |
| Box 16 Provider Signature | Dr. Omar Patel, MD, NPI 9876543210, 08/15/2026 |
Scenario 3: Janet Chen, 5-Year-Old with Asthma Entering Before/After-School Care
| Form Section | What Mei Chen Enters |
|---|---|
| Box 1 Name | CHEN, JANET |
| Box 2 Date of Birth | 07/04/2020 |
| Box 4 Address | 88 Mott Street, New York, NY 10013 |
| Box 5 Parent Contact | Mei Chen — (212) 555-0199 — mei.chen@email.com |
| Box 6 Medical History | Asthma diagnosed 2023 |
| Box 7 Allergies | Dust mites — mild |
| Box 8 Medications | Albuterol HFA 2 puffs q4h PRN; Flovent 44 mcg BID |
| Box 9 Special Needs | Asthma Action Plan attached; spacer required |
| Box 15 Vision/Hearing | Vision 20/25 both eyes; Hearing passed 06/12/2026 |
| Box 16 Provider Signature | Dr. Linh Tran, NP, NPI 5556667777, 07/10/2026 |
How to File the Completed Form
Once Parts I and II are complete, the form goes to the child care program that will enroll your child, not to OCFS directly. The program keeps it in the child’s enrollment file for as long as the child attends, plus six years afterward under 18 NYCRR §418-1.11.
You can deliver the form four ways. In person is the most common: hand the original to the program director and ask for a date-stamped copy as your receipt. By mail, use USPS Certified Mail with Return Receipt; keep the green card as proof of delivery. By fax, send to the program’s listed fax number and keep the transmission confirmation page. By email or upload, send a scanned PDF to the address or portal the program provides, such as a Procare or Brightwheel parent portal.
There is no filing fee for OCFS-LDSS-2000. The only cost is whatever your pediatrician charges for the physical exam, which is typically covered by Medicaid, Child Health Plus, or private insurance under the Affordable Care Act preventive-care provisions.
Processing time at the program level is usually same-day; the director reviews the form and adds it to the enrollment file. If anything is missing, the program will call you within a few days and ask you to follow up with the provider. Keep a complete copy at home and a backup on a secure cloud folder.
What Happens After You File
After the program receives a complete OCFS-LDSS-2000, your child can begin care on the agreed start date. The program logs the form in the child’s record and flags the expiration date, which is one year from the date of the physical exam.
Roughly 30 to 60 days before the expiration, the program will send you a renewal notice asking you to schedule the next annual physical and submit a fresh form. Failing to renew on time means the program must either pause your child’s attendance or risk an OCFS citation. Annual renewal is required under 18 NYCRR Part 418 for every child, every year, with no exceptions for older school-age children.
During licensing inspections, OCFS reviews a sample of child files. If your child’s file is selected and the LDSS-2000 is missing, expired, or incomplete, the program receives a violation that becomes part of its public inspection record on the OCFS Day Care Search site. Repeated violations can lead to enforcement actions, suspension, or revocation of the program’s license.
If your child develops a new condition during the year — a new allergy, a new diagnosis, a new medication — submit an updated form or a supplemental letter from the provider immediately. Do not wait for the annual renewal.
Mistakes to Avoid When Filling Out the Form
- Using an outdated form revision. Older versions omit recent immunization changes, and OCFS may reject the form during inspection.
- Writing dates in DD/MM/YYYY format. The form requires MM/DD/YYYY, and a reversed date can be misread as an invalid future date.
- Leaving Box 3 (sex) blank. Missing demographic fields make the form incomplete under 18 NYCRR §418-1.11.
- Using a P.O. Box as the home address. Emergency responders need a physical location, and a P.O. Box delays response.
- Listing only one parent contact number. A single unreachable number violates emergency-contact rules.
- Skipping mild allergies or “minor” conditions. Mild reactions can escalate in group care, and undisclosed conditions create liability.
- Failing to attach the NYSIIS immunization printout. The Box 12 list alone is not enough; OCFS expects the source record.
- Omitting the actual lead test value. Writing “normal” instead of the number invalidates the lead screening field.
- Letting Part II expire. A physical older than 12 months voids the form, and the child cannot stay in care.
- Forgetting the NPI or license number in Box 16. Without provider credentials, the form cannot be verified.
- Parent signs Part II. Only licensed providers can sign Part II; a parent signature there voids the field.
- Submitting without keeping a copy. If the program loses the original, you have no proof of timely filing.
Do’s and Don’ts
- Do download the form fresh from the OCFS Forms page each time, because revisions change.
- Do complete Part I before the pediatrician appointment so the provider can focus on Part II.
- Do ask for a date-stamped receipt every time you hand the form to the program.
- Do attach the NYSIIS immunization printout, allergy action plans, and any care plans.
- Do calendar the annual expiration date so you renew before it lapses.
-
Do notify the program within 24 hours of any new diagnosis, medication, or allergy.
-
Don’t use a school health form as a substitute; it is not accepted for licensed child care.
- Don’t sign Part II as a parent; only a licensed provider can.
- Don’t leave any box blank — write “N/A” if it truly does not apply.
- Don’t rely on a telehealth-only exam; Part II requires an in-person physical.
- Don’t assume religious exemptions to immunization apply; New York repealed them in 2019.
- Don’t wait past 30 days after enrollment to submit; OCFS treats that as a violation.
Pros and Cons of Filing on Your Own vs. With Help
- Pro — Filing on your own is free and only takes the time of one physical exam and a few minutes of paperwork.
- Pro — You control the timing, so you can fit the physical around your schedule.
- Pro — Direct relationship with the program lets you ask questions and clarify quickly.
- Pro — You learn the form, which makes annual renewals fast.
-
Pro — No third party sees your child’s medical record beyond your pediatrician and the program.
-
Con — Missing fields cause delays if you have not done it before.
- Con — Coordinating with the pediatrician for Part II signatures can take weeks.
- Con — Tracking the annual expiration is on you, not a service.
- Con — Special-needs children may need extra plans that benefit from professional help.
- Con — Mistakes can exclude your child from care, which disrupts work and family life.
Paper vs. Electronic Filing
| Filing Method | Best For |
|---|---|
| Paper hand-delivery | Families who want a date-stamped receipt the same day |
| Mail with certified receipt | Families who cannot visit the program in person |
| Fax to the program | Pediatric offices that fax directly after the physical |
| Email or portal upload | Programs using Brightwheel, Procare, or similar platforms |
FAQs
Is OCFS-LDSS-2000 required for all child care in New York?
Yes. Every licensed and registered child care program in New York must keep this form on file for every enrolled child under 18 NYCRR Part 418.
How long is the completed form valid?
Yes — but only for one year from the date of the physical exam in Box 10. After that, a new form with a fresh physical is required.
Can a nurse practitioner sign Part II?
Yes. Nurse practitioners and physician assistants licensed in New York can sign Part II, along with MDs and DOs.
Do I write my child’s nickname or legal name in Box 1?
No. Box 1 requires the child’s full legal name as on the birth certificate; a nickname can go in Comments.
Can I use a P.O. Box in Box 4?
No. Box 4 requires a physical residential address so emergency responders can reach the child.
Does telehealth count as the physical exam for Part II?
No. Part II requires an in-person physical exam; telehealth visits do not meet the standard.
Are religious immunization exemptions accepted?
No. New York repealed religious exemptions in 2019; only documented medical exemptions under Public Health Law §2164 are allowed.
Do I need a separate lead test result in Box 13?
Yes. Children under 6 must have documented blood lead screening results under Public Health Law §1370-e.
Can I submit the form by email?
Yes, if the program accepts electronic submissions through email or a parent portal such as Brightwheel or Procare.
Is there a filing fee for OCFS-LDSS-2000?
No. The form itself has no filing fee; only the pediatric exam may have a cost, often covered by insurance.
What if my child has no known allergies — do I leave Box 7 blank?
No. Write None known in Box 7; leaving it blank makes the form incomplete.
Can I submit Form OCFS-LDSS-2000 after my child has already started care?
Yes, within 30 days of enrollment under 18 NYCRR Part 418; after that, the program must exclude the child until a complete form is filed.
Does Form OCFS-LDSS-2000 replace school health forms?
No. The OCFS form is for licensed child care only; K-12 schools use the separate New York State School Health Examination Form.
Do twins each need their own form?
Yes. Every child needs an individual OCFS-LDSS-2000, even siblings or multiples enrolling on the same day.
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