Mrs. Ewing's Website

Elizabeth Haddon Elementary School

Health Office Information

School Nurse: Lisa Ewing RN, BSN CSN

Phone: (856) 429-0811 x4105

email: lewing@haddonfield.k12.nj.us

HEALTH FORMS and IMMUNIZATION REQUIREMENTS:

Preschool, Kindergarten and Transfer Student Forms:

K-12 immunization requirements

Universal Health Form-Physical

Confidential Health History for Preschool through 5th Grade

Preschool Flu Vaccination information

Preschool Dental Health Screening - GENERAL PROVISIONS FOR A HIGH QUALITY PRESCHOOL PROGRAM (N.J.A.C.6A:13A-4.5) Health and Nutrition section requires a dental screening of each eligible child in preschool. If your child has been to your family or pediatric dentist after July 1st please have them complete and return this form, as soon as possible. This screening will fulfill the requirement for a dental screening for preschool students.

4th and 5th Grade Recommended Health History and Updated Physical Exam:

Entrance (new) into 4th/5th Grade or current 4th/5th Graders - It is recommended to obtaining subsequent medical examinations of students at least once during each developmental stage: at early childhood (preschool through grade three), pre-adolescence (grade four through six), and adolescence (grade seven through 12).

6th Grade immunizations and Sports Physicals for Middle School

Immunization Requirements for Middle School

Pre-Participation Sports physical

MEDICAL FORMS:

**All medications must be given to the school nurse by the parent/guardian. Original medication containers/boxes are required.**

Authorization for Administration of Epinephrine

Authorization for Use of Medical Mobility Equipment - Crutches, Boots, Wheelchairs, etc.

It is very important to notify the school nurse if your child has an injury or surgery that limits their mobility. A healthcare provider’s note is required that includes the type of injury/surgery, weight-bearing status, level of activity allowed, accommodations needed and any restrictions of activity. Any assistive equipment such as crutches, boots, etc. must have both a healthcare provider and parent written authorization prior to use in the school. Please report to the health office prior to the classroom so the nurse can plan for any accommodations that may be necessary. A healthcare provider’s note is required for return to normal activity. These measures are necessary to provide for the safety of all of our students in the school.

Concussion/Head Injury Form - If your child has sustained a concussion, please have the attached form completed by your child's healthcare provider and return it to the health office

SCREENINGS:

Height, Weight, Vision, Hearing, Dental All Pre-K Students

Height, Weight, Blood Pressure All Student K-12

Vision Grades K, 2, 4, 6, 8, 10

Hearing Grades K-3, 7 and 11

Scoliosis Ages 10-18, biennially

If at any time you wish to decline these screenings for your child, a written request must be sent to the school nurse.

Elizabeth Haddon Elementary School

Health Office Information

School Nurse: Lisa Ewing RN, BSN CSN

Phone: (856) 429-0811 x4105

email: lewing@haddonfield.k12.nj.us

HEALTH FORMS and IMMUNIZATION REQUIREMENTS:

Preschool, Kindergarten and Transfer Student Forms:

K-12 immunization requirements

Universal Health Form-Physical

Confidential Health History for Preschool through 5th Grade

Preschool Flu Vaccination information

4th and 5th Grade Recommended Health History and Updated Physical Exam:

6th Grade immunizations and Sports Physicals for Middle School

Immunization Requirements for Middle School

Pre-Participation Sports physical

MEDICAL FORMS:

Administration of Medication by the School Nurse

Self-Medication Dispensing Form

Authorization for Administration of Epinephrine

Asthma Action Plan Medication Form

Authorization for Medical Procedures by the School Nurse

Authorization for Use of Medical Mobility Equipment - Crutches, Boots, Wheelchairs, etc.

Concussion/Head Injury Form - If your child has sustained a concussion, please have the attached form completed by your child's healthcare provider and return it to the health office