Logo of Williamsburg Y Head Start featuring two blocks. One block has a blue upward arrow, the other has red and white stripes. The text reads "WILLIAMSBURG Y HEAD START" in blue.

Child Medical & Dental Forms

Click the links to download the Child Medical and Dental forms. Important: Please have the forms completed and stamped by your child’s pediatrician and dentist.
Downloads
Two children are playing. One child in a pink jacket is drawing on a wall, while the other, in a floral jacket, stands nearby. There's a large mushroom-shaped play structure in the background.
A child in a beige coat sits on the floor, playing with colorful blocks. Other children are in the background, focused on similar activities. The scene appears to be in a play area or classroom, with chairs and a green bench visible.
Williamsburg Y Head Start
Address
64 Division Avenue
Brooklyn, NY 11249
Directions
Contact
Tel: (718) 387-0229
Fax: (718) 387-1461
Contact Us
Schedule a Tour
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This website is supported by Grant Number 02CH012447 from the Office of Head Start within the Administration for Children and Families, a division of the U.S. Department of Health and Human Services. Neither the Administration for Children and Families nor any of its components operate, control, are responsible for, or necessarily endorse this website (including, without limitation, its content, technical infrastructure, and policies, and any services or tools provided). The opinions, findings, conclusions, and recommendations expressed are those of the Y.M. & Y.W.H.A. of Williamsburg, Inc. and do not necessarily reflect the views of the Administration for Children and Families and the Office of Head Start.

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