Nurse's Information

Anthony Fontaine, RN, MSN, CSN | Email: afontaine@hcstonline.org

Phone: (201) 631-6392 | Fax: (201) 963-5949

REMINDER DUE DATES:

  • All new students must report to school on the first day with a completed immunization form.

  • All students must report to school on the first day with a completed physical form.

  • For any student that wants medication (over the counter or prescription) to be available to them during the school year must print the appropriate forms, have them filled out and return them on the first day of school.

Please read all information and materials carefully so that all forms are properly filled out prior to handing them in to the nurse. If you have any questions you can contact the Nurse’s office at (201) 631-6392 or email afontaine@hcstonline.org

ALL Students

Physical Evaluation – To be completed by ALL students


Dear Parent/Guardian:

In order to ensure that our students are healthy and able to participate in all school activities, we request that all 6th grade students and new students have a physical exam upon entering our program. We also recommend that every student have an updated physical exam every school year. Students are required to have a physical exam to participate in any sports activities. Explore Middle School students participate in competitive paddling events, etc. that are considered sports activities. Therefore students must have a current physical on file to participate in the events.

Physical exams must be done by your physician or health care provider. The enclosed form is the required physical form and it must be filled out completely by your health care provider. If you are unable to have the physical exam done by your health care provider, please contact me at 201-631-6392 for assistance. If I am out of the office, please leave me a message with your name and phone number where I can reach you. I will return your call as soon as possible.

Sixth Grader and New Students

Please have your physician review your child’s immunizations as there are new requirements for entering the sixth grade as of September 2008. The regulations follow.

The State of NJ Dept. of Health and Senior Services has advised us that all students entering sixth grade and are 11 years old are required to have the following vaccinations.

  1. Diphtheria, tetanus toxoid and pertussis vaccine (Tdap)

  2. Meningococcal vaccine

You must provide proof from your physician or your health care provider that your child has received the vaccines or meets the other criteria listed above. Your child will not be allowed to begin school in September without proof of the vaccinations.

Students who have not reached their 11th birthday by the start of school in September will be required to present documentation of these immunizations within 2 weeks following their birthday.

Sincerely,

Anthony Fontaine RN, MSN, CSN

Click to download Physical Evaluation forms – To be completed by ALL students

Medication Forms – For any student that wants medication (over the counter or prescription) to be available to them during the school year.

Administration of Medication in Explore Middle School

If you would like your child to have medication available in school, you and your child's physician must fully complete the following form(s) and return them to the school nurse. (This includes any over the counter medications like Tylenol and Advil.)

Click here to print the ALL Medical Forms


FOR ASTHMA MEDICATION:

  • Form C: Asthma Action Plan - Please be sure that the physician checks off the box in the lower left hand corner for the student to be allowed to carry and self-administer their medication.

  • Form B: Medication Contract - Front and back must also be completed in order to carry medication.


FOR EPI PEN/LIFE THREATENING ALLERGY:


FOR ALL OTHER MEDICATIONS INCLUDING ANYTHING "OVER THE COUNTER":

  • Form A: Authorization for Medication To Be Taken During School Hours - If your child requires medication regularly during school hours, you must have your physician fill out the entire form. You must sign the parent portion and return it with the appropriate medication in a labeled container on the first day of school. If your child needs to have more than one medication available then one Form A must be completed for each individual medication.


The school nurse is able to administer limited over the counter medications based on the school physician’s standing orders. Please read, complete and return Form E on the first day of school to assist the nurse with this policy.


For students with Diabetes or other chronic medical conditions that may or may not require some form of medication in school, please contact me prior to September so that we may properly ensure that you child’s health needs are met beginning with the first day of school.

All medication must be brought to school in its original container from the pharmacy with the child’s name clearly marked on it. Unless your child has been authorized to carry a life-saving medication, it will be kept locked in the Nurse’s office and will be made available by the school nurse following the physician’s orders.

This form covers your child for the current school year only. New forms must be filled out each new school year. If your child’s physician authorizes any changes in the medication during the current school year a new form must be completed.

Should you have any questions, or need additional forms please feel free to contact me at 201-631-6392.

Anthony Fontaine RN, MSN, CSN

School Nurse