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.**

• 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.

      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