Health Management Forms & Info

For All New Students:
*** Complete Immunization Records AND a Physical Exam are required for school attendance in New Jersey.***
Please be aware that children typically receive immunization boosters at their 5-year check up, and these are required for school attendance. If records were submitted at registration, updates are likely needed that include the 5-year booster immunizations. Please submit these updated records when your doctor is able to schedule an appointment and provide the documentation. Proper immunization records  must include the child's full name and date of birth.
Use this form for physical exams: Physical Exam Form (your physician's form or proof of immunization record is also acceptable)

For Students with Severe or Life-Threatening Food Allergies:
***Food Allergies are Managed Respectfully at Salt Brook!***
Managing severe food allergies requires a team approach that includes the school nurse, teaching staff, parents, the student, and school administrators. The safety of students with severe food allergies is of utmost importance.
The following documents are needed for allergy management: The two-page Allergy Emergency Form must be completed by a physician. The Parent Authorization Form must be completed by the parent. The Individualized Health Plan (IHP) is a template that outlines the basic procedures for the management of food allergies at school and is available by request from the school nurse. These forms should be submitted along with required medications at the start of the school year.

For Students with Asthma:
If your child will require treatment or medication for asthma during the school day, an Asthma Treatment Plan should be completed by your physician and signed by a parent. The form can be found here: Asthma Treatment Plan
Parents are responsible for supplying all medications and supplies. **Please note: due to COVID-19 recommendations, nebulizers must be avoided in the school setting, and can only be administered in emergency situations. 

For Students who Require Medication During the School Day:
ALL medications require a physician's order and written parental permission. THIS INCLUDES ALL OVER-THE-COUNTER MEDICATIONS! Both the parental and physician authorizations are required for medication to be administered at school: Medication Form: Physician Physician Authorization AND Medications Form: Parent/Guardian Authorization

Other Medical Conditions:
Please contact the school nurse if your child has other medical or health issues that might require nursing care during the school day.