Reporting Requirements

Department of Behavioral & Community Health

 

Children’s camp operators/directors should maintain the following forms and, when applicable, use them for reporting to the Dutchess County Department of Behavioral & Community Health.

To report an injury or illness, please contact:
- Poughkeepsie District Office - (845) 486-3404
- Beacon District Office - (845) 838-4801
- Millbrook District Office - (845) 677-4001
- After hours, weekends and holidays - (845) 431-6465

Camper/Staff Reporting Forms

- Allegation of Abuse Report (.pdf)

- Epinephrine Administration Report Form (.pdf)

- Illness and Outbreak Report (.pdf)

- NYSDOH Communicable Disease Reporting Requirements (.pdf)

- Injury Report (.pdf)

- Required Reporting for Injury and Illness poster (.pdf)

- Reporting Amusement Device Injuries (.pdf)

Operation Reporting Forms

- Water System Operation Report for Chlorinated Systems (.pdf) 
(for camps with their own water source)

- Water System Operation Report for Ultraviolet Systems (.pdf) 
(for camps with their own water source)

- Swimming Pool Operation Report (.pdf)
(for camps with onsite swimming pools)

- Bathing Beach Operation Report (.pdf)
(for camps with an onsite bathing beach)

All the documents required for a permit to operate a children’s camp may be found on this website.

If you have further questions or cannot access the forms, please contact the Department of Behavioral & Community Health at (845) 486-3404 and a CD-ROM will be mailed to you.
 


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A. K. Vaidian, MD, MPH,Commissioner of Behavioral & Community Health A. K. Vaidian, MD, MPH
Commissioner of Behavioral & Community Health
Dutchess County Seal

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