Embedded Files
Please click the image below to access any of the following Documents:
Asthma Action Plans
Seizure Action Plans
Food Allergy Plans
Sports Physical
Health History Form
Medication Administration Forms
Universal Health Form
AAP.pdfAsthma Action Plan- Must have medical provider complete & sign.
AAP_Allergy_and_Anaphylaxis_Emergency_Plan.pdfAllergy Action Plan- Must have medical provider complete & sign; Please also list whether your child's allergy is airborne, ingestion, contact, etc.
SeizureActionPlan.pdfSeizure Action Plan- Must have medical provider complete & sign.
NJ Physical Forms.pdfSports Physicals- Must have medical provider sign and complete last page and be returned to school nurse prior to first day of try-outs
HealthHistoryUpdatedQuestionnaire_6-12-20.pdfSports Health History Questionnaire Form
Universal Child Health Record.pdfUniversal Child Health Form / Physical- Submitted upon entry for Pre-K, Kindergarten, 5th Grade, New Student; may also be submitted annually to School Nurse
Copy of scan_ayaccarino_2021-08-26-11-22-40.pdfMEDICATION FORMS- Permission for School Nurse to Administer Daily Medication/Prescription Medications during School; Both parent and medical provider must sign and compelte
Updated_Medication_Permission_Form[6121].pdfOTC Medication Permission Form- Permission for School Nurse to Administer OTC Medications in School (acetaminophen, ibuprofen, diphenhydramine, cough drops)
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