Our Forms

* Please Note:

The DC Universal Health Certificate contains a section regarding risk assessment for tuberculosis (TB). Many children do not require the Tuberculin Skin Test (TST) for TB.


Your doctor should conduct a tuberculosis exposure risk assessment first, and only administer the TST if indicated in accordance with American Association of Pediatrics Guidelines. If your child does not need a TST, the doctor may simply check the low risk box and initial the form there, in addition to signing at the bottom. 

CCPC Nursery School

Chevy Chase Presbyterian Church

One Chevy Chase Circle, NW

Washington, DC  20015

(202) 363-2209