December Cohort Calendar

NYC DOE Covid 19 Testing Consent Form


What is this form?

We are seeking your consent to test your child for COVID-19 infection. The New York City Department of Education (NYC DOE), working with NYC Health + Hospitals and the New York City Department of Health and Mental Hygiene, has partnered with laboratories and other providers to test NYC DOE students, teachers, and staff members for COVID-19 infection.

How often would you test my child?

We are arranging for our laboratory and provider testing partners to come to every school at least once a month to test some of the students and staff. If you consent, your child may be selected for testing on one or more of these occasions. In addition, your child may also be tested throughout the school year (1) in accordance with state and city mandates, such as weekly testing in schools in Yellow Zones, or (2) if they exhibit one or more symptoms of COVID-19, or (3) if they are a close contact of a student, teacher, or staff person with COVID-19 infection.

What is the test?

If you consent, your child will receive a free diagnostic test for the COVID-19 virus. The attached letter provides more information about the types of tests that may be used. Collecting a specimen for testing involves inserting a small swab, similar to a Q-Tip, into the front of the nose and/or collecting saliva (spit).

How will I know if my child tests positive?

If your child has a specimen collected for testing at school, we will send information home with them to let you know. COVID- 19 test results will generally be provided within 48-72 hours.

What should I do when I receive my child’s test results?

If your child’s test results are positive, please contact your child’s doctor immediately to review the test results and discuss what you should do next. You should keep your child at home and inform your child’s school. If your child’s test results are negative, this means that the virus was not detected in your child’s specimen. Tests sometimes produce incorrect negative results (called “false negatives”) in people who have COVID-19. If your child tests negative but has symptoms of COVID-19, or if you have concerns about your child’s exposure to COVID-19, you should call your child’s doctor. If you need help finding a doctor, call (844) NYC-4NYC.


Parent/Guardian Information

Parent/Guardian Print Name:


Parent/Guardian Address:


Parent/Guardian Tel./Mobile #:


Parent/Guardian Email address:


Best way to contact you


Child/Student Information

Child/Student Print Name:


Child/Student School ID/OSIS #:


Child/Student Date of Birth:


Child/Student School


Child/Student Address:



The law allows some information about your child to be shared with and among certain New York City and New York State agencies and their contracted service providers, including those listed below. This information will be shared only for public health purposes, which may include notifying close contacts of your child if they have been exposed to COVID-19, and taking other steps to prevent the further spread of COVID-19 in your school community. Information about your child that may be shared with these agencies and service providers conducting COVID-19 Testing includes your child’s name and COVID-19 test results, date of birth/age, gender, race/ethnicity, school name(s), teacher(s), classroom/cohort/pod, enrollment and attendance history, and afterschool or other program participation, names of other family members or guardians, address, telephone, mobile number, and email address. Sharing of information about your child will only be done so in accordance with applicable law and City policies protecting student privacy and the security of your child’s data.

• NYC Department of Education

• NYC Department of Youth and Community Development

• NYC Department of Health and Mental Hygiene

• NYC Health and Hospitals Corporation

• NYS Department of Health

• Contracted Service Providers for COVID-19 Testing


By signing below, I attest that:

  • I have signed this form freely and voluntarily, and I am legally authorized to make decisions for the child named above.

  • I consent for my child to be tested for COVID-19 infection.

  • I understand that my child may be tested at multiple times through September 30, 2021, and that testing may occur (1) on

    days scheduled by the NYC DOE in accordance with state and city mandates, such as weekly testing in schools in Yellow Zones, or (2) if they exhibit one or more symptoms of COVID-19, or (3) if they are a close contact of a student, teacher, or staff person with COVID-19 infection.

  • I understand that this consent form will be valid through September 30, 2021, unless I notify the designated contact person from my child’s school in writing that I revoke my consent.

  • I understand that if I revoke my consent or refuse to sign, my child may be required to continue their education via remote learning.

  • I understand that my child’s test results and other information may be disclosed as permitted by law.

  • I understand that if I am a student age 18 or older, or may otherwise legally consent for my own health care, references to

    “my child” refer to me and I may sign this form on my own behalf.

Signature of Parent/ Guardian* (if child is under age 18)


Signature of Student
(if age 18 or over or otherwise authorized to consent)


A Letter from Mrs. Neglia

November 23, 2020

Dear Parents/Guardians,

On behalf of the administration and faculty of P.S. 216, I would like to take this opportunity to send a special note of thanks to our families and students.  We are so grateful to have a wonderful school community that is committed to supporting students no matter the obstacle. As I reflect on this season of Thanksgiving, I realized how fortunate I am to be a school leader at P.S. 216. Even in a pandemic, we have so many reasons to be thankful. Our beautiful school, whether in-person or virtual, continues to provide a space for children to learn and grow. Thank you for sharing your amazing family with us. We are so proud of our students and all they have accomplished this year. They are the true pioneers in learning despite a pandemic. Each day, they reveal to us how they are becoming leaders in their own learning. Their eagerness to become the best version of themselves is inspiring. It is a joy to witness!

As you may already know, classes will not be in session on Thursday and Friday (November 26th – 27th) in observance of the Thanksgiving holiday. School will resume on Monday, November 30th.  At this time, we believe it will still be fully remote. If our status changes; parents will be notified.  First trimester report cards are now complete and will be released to parents via the NYC Schools account. If you do not have your login information or need a new creation code, please reach out to our parent coordinator, Mallory Figueroa at

In addition, the following opportunities for parents to pick up student workbooks have been arranged:

  • Tuesday, November 24th  9:00 am – 12:00 pm
  • Tuesday, December 1st 9:00 am – 12:00 pm


More information will be sent to parents via Operoo.  Please check with your child’s teacher if you have any questions.  

Thanksgiving is a wonderful time to reflect on all for which we are grateful. I hope that each of you will find time to share your gratitude with your family and friends.

Have a very Happy Thanksgiving! May your family have health, happiness and love always!


Donna Neglia


A Message from the Chancellor

Dear Families,

I hope you have had a restful break, and an opportunity to enjoy time with family.

As you are aware, on November 18, we temporarily closed school buildings for teaching and learning, and all New York City public school students transitioned to fully remote learning. Today, I am pleased to write to you with our plan to reopen school buildings for in-person instruction for many of our students. As always, health and safety remain our highest priorities, and this letter also contains information regarding mandatory weekly in- school testing for COVID-19 in all reopened buildings, and how you can submit the required consent forms.

The guidance below applies to students in blended learning, who have already chosen to learn in the school building part of the week, and from home the rest of the week. Students who chose fully remote learning prior to building closures will continue to learn remotely full time.

When can my child return to in-person learning?

 Students in Grades 3K through Grade 5 will return to in-person learning beginning on Monday, December 7.

o This includes all students in grades 3K through 5, across early education and elementary school types (e.g., in K-2 schools, K-3 schools, K-5 schools, as well as District Pre-K Centers, K-8 schools, and K-12 schools).

o This excludes schools currently located in State-designated Orange Zones, or Red Zones if they are declared. You can see if your school is currently in one of these Zones at

 Students in all grade levels in District 75 will return to in-person learning beginning on Thursday, December 10.

o This also excludes schools located in State-designated Orange Zones, or Red Zones.

  •   Students in grades 6 through 12 (outside of District 75) will continue to learn remotely until further notice.

  •   Students who have recently traveled outside of New York to a place on the State’s travel advisory list must quarantine for 14 days. You also have the option of testing out of quarantine based on the State’s guidelines: Students should continue to complete the health questionnaire daily.

  •   These return dates apply to students in blended learning, including those who selected blended learning during the recent opt-in period.

    What do I need to do to return to my school building?

    In order for your child to return to in-person learning, you must submit the consent form for in-school COVID- 19 testing by the first day your child returns to their school building. Testing will happen weekly for a random selection of staff and students in your child’s school. Given the ongoing fight against a citywide resurgence of COVID-19, this mandatory weekly testing for COVID-19 is a crucial part of our plan to keep all schools safe.

November 29, 2020

Any student in grade 1 or higher returning to school buildings must submit a consent form for COVID-19 testing in school by their first day back in school buildings.

  •   Any student in grade 1 or higher returning to school buildings must submit a consent form for COVID-19 testing in school by their first day back. 3K, Pre-K, and Kindergarten students are excluded from random testing.

  •   The test is quick, safe, and easy. A video showing the testing process is available at

    How do I submit consent?

    Submitting consent to have your child tested for COVID-19 in school is quick and easy. Even if you have already submitted consent, we ask you to do so again to ensure your student has the latest consent form on file. There are two easy ways to submit:

    1) Fill out the form online using a New York City Schools Account (NYCSA) at

  •   If you already have a NYCSA account linked to your student(s): Log in, click your student’s name, click “Manage Account,” and then when a dropdown menu appears, click “Consent Forms.” Read the page, and then choose the consent option at the end for your student.

  •   If you do not already have a NYCSA account: You can create one right away! If you have an account creation code from your school, you can create a full account in approximately five minutes, and then provide consent as described above. If you do not have an account creation code from your school, you can still provide your consent right away by clicking “Manage Consent” under “COVID-19 Testing” and filling out your and your child’s information to provide consent.

    2) Print and sign the attached form and bring it to your child’s school on the first day they are back in the school building. A printable PDF file is available in ten languages at

    Can my child receive an exemption from weekly random testing?

    Exemptions will only be granted in certain limited cases:

  •   For students who need a medical exemption, due to a health condition that would make it unsafe to undergo testing (e.g., facial trauma, nasal surgery), you will be able to submit a separate form for consideration. This form must be signed by a physician and you must submit medical documentation from a health care provider.

  •   For students with disabilities who cannot be safely tested in school due to the nature of their disability, you will be able to submit a separate request for an exemption.

  •   The exemption forms will be available in English on Monday, November 30 at Translations will be available shortly thereafter.

What happens if I don’t submit consent?

You must submit consent by the day that your child returns to your school building; this is the due date, and we need all students to participate.

  •   If your child comes to school on their first day back for in-person instruction without a consent form on file, principals and school staff will contact you to obtain consent.

  •   After that, students without consent forms on file, who do not have a medical or disability-based exemption submitted, must be moved to fully remote instruction. More information on exemptions will be provided by your child’s school principal this week.

    What if my child’s school is in an Orange or Red Zone?

  •   As of now, schools in Orange Zones remain closed for in-person learning. We are working with the State to develop a plan to reopen buildings in Orange Zones as soon as possible.

  •   We will share information as soon as a plan is confirmed with the State of New York.

  •   There are currently no Red Zones in New York City, but per the State, school buildings in Red Zones

    would also be closed.

    As always, I am grateful for your flexibility and patience as we continue our journey together through this unprecedented year. All of us at the DOE are focused on a strong, supportive education for your child every day— no matter where they are learning—and that will never change.

    We look forward to welcoming students back into school buildings in the coming weeks. Sincerely,

    Richard A. Carranza
    New York City Department of Education