Additional Forms for non-TNCS Students

OCC Required Paperwork

Maryland State licensing requirements mandate that we collect the paperwork outlined below. Please review the requirements carefully and email all completed forms to camps@thenewcenturyschool.com

Required Documentation

1. 1. 1. OCC 1214 Emergency Form 
         • Required for all students
           • Fill out PDF linked above online.
           • Complete all items on Part I of the form.
           • Sign and date where indicated.
           • On Part II, you may make a note that says,”N/A” if no conditions apply. If conditions apply, please detail them.
           • If your child has a medical condition which might require emergency medical care, make sure Part II is signed by your child’s health practitioner.
      2. OCC 1215 Health Inventory
         • Required for all students
           • Fill out Part I “Health Assessment.”
           • If your child has received a physical examination within the last 12 months, you do not need to fill out Part II. Instead, you may provide a copy of the physical exam paperwork as a substitute for Part II. You should be able to download exam documentation from your child’s Patient Portal.
           • If your child has not received a physical examination within the last 12 months, please have Part II completed by a healthcare provider.
      3. OCC 896 Immunization Certification / Proof of Immunizations
         • Required for all students
           • You may complete the form linked above or download proof of immunizations from your child’s Patient Portal.
      4. OCC 4620 Blood Lead Testing Certification
         • Required for students preschool in through 1st Grade
           • You may complete the certificate linked above and have it signed by your child’s healthcare provider or you may download Blood Lead Test Results from your child’s Patient Portal.
      5. TNCS Authorization Form
         • Required for all students; you must submit the Google form linked above.
      6. Image Consent & Media Release
         • Submit the Google form linked above.

   Additional Documentation If Applicable
   

   1. • 1. If your child has allergies, asthma, or a seizure disorder, please download the corresponding form(s) below for completion by a healthcare provider. 
           • Asthma Action Plan and Medication Administration Authorization (OCC Form 1216A)
           • Allergy and Anaphylaxis Medication Administration Authorization Plan (OCC Form 1216B)
           • Seizure/Convulsion/Epilepsy Disorder Medication Administration Authorization Form (OCC form 1216C)
        2. Medications: If your child requires ANY medication while on campus (including emergency medications and OTC medicines), submit the Medication Administration Authorization Form.
           • The form must be signed by a healthcare provider. 
           • A separate form is required for each medication.
        3. If your child has a 504, IEP, or similar plan please include a copy.