To ensure the safety, health, and well-being of every child in our BASP program, the YMCA is required to collect specific medical documentation for any child with a medical condition that requires documented care while at the program, such as allergies, asthma, or other health needs that may require emergency care during program hours. These requirements are mandated by the Office of Children and Family Services (OCFS) and apply to all licensed child care programs in New York State.
Please note: The YMCA is not permitted to accept a child into care until all required forms have been submitted, reviewed, and approved. Please follow the steps below to complete the required OCFS paperwork.
Step 1: Review the Medical Paperwork Guide
This guide outlines the exact paperwork needed based on your child’s diagnosis or health needs. It also includes instructions for how to complete each form correctly, who needs to sign, and what supporting documents are required.
Step 2: Download and Complete the OCFS Forms
Depending on your child’s needs, you may need to submit one or more of the following:
• OCFS-6029 – Individual Allergy and Anaphylaxis Emergency Plan
• OCFS-7006 – Individual Health Care Plan for a Child with Special Health Care Needs
• OCFS-7002 – Written Medication Consent Form
All forms must be completed in full, including all signatures from your child’s health care provider.
Step 3: Upload Your Completed Paperwork
Use the form at the bottom of this page to securely upload your documents. You may submit PDF files, scanned documents, or clear smartphone photos. Please ensure the information is legible and complete. Incomplete or unclear forms may delay your child’s start date.
Once submitted, your paperwork will be reviewed by the Program Director, and in some cases, our Health Care Consultant. You will be contacted if anything is missing or requires clarification.
If you're unsure which forms are required or have questions about the process, please reach out to your Program Director listed below. We’re here to help make this process as smooth as possible.
Program Director | Sites | |
---|---|---|
Davanique Collier | Davanique.Collier@rochesterymca.org | East Irondequoit Middle School, Helendale, Ivan Green, Rochester Prep, School #8, School #35, School #46 |
Sarah Green | Sarah.Green@rochesterymca.org | Chestnut Ridge, Fairbanks Rd, Gates @ Westside YMCA, Greece @ Northwest YMCA, Northwood, Trinity Communion Church |
Ali Burns-Ragazzo | Ali.Ragazzo@rochesterymca.org | Cobbles, Harris Hill, Indian Landing, Scribner, Wayne, Webster @ Bay View, Webster UPK @ Bay View |
Garrett DeRosa | Garrett.DeRosa@rochesterymca.org | Council Rock, French Rd, Jefferson Rd, Mendon Center, Park Rd, Thornell Rd |
Adrienne Curley | AdrienneC@rochesterymca.org | Brooks Hill, East Rochester, Gananda (Richard Mann), Jefferson Ave, Northside/Dudley |
Shawn Lantz | Shawn.Lantz@rochesterymca.org | Bloomfield, Canandaigua, Livonia, Victor |