Brookside Health Office - Medical Records & Forms

All district medical forms are available on our district wide health portal. For your convenience, I have linked some of the most commonly requested forms below. Please don't hesitate to reach out with questions. Please deliver your child's medication in its original packaging with their name and, if applicable, prescription sticker attached.

Please bring your child's medications and forms to the front office and ask them to call me to receive them, do not put them in a backpack or hand them to your child's homeroom teacher.

A physical conducted within 365 days of the state of school is required for kindergarten registration and new entrants. For subsequent years, while a physical assessment and immunization record update from a health care provider is not required, it is very much appreciated! I will happily accept any updated annual physicals at any time. Thank you in advance for helping keep your child's medical records up to date!

Physicals, Health History, and Dental

Physical Exam (K-5)

Dental Exam

Student Health History

Medical History Form

New Jersey Universal Child Health Record

Food Allergies

FARE Food Allergy Action Plan

Allergy Aware Lunch Table Form

Emergency EpiPen Delegate Consent

Asthma

Asthma Action Plan - the American Lung Association

Medications

Consent for Medication in School

*Please note that in order for medication to be administered in school, even over the counter medications, we require a physician's signature in addition to a parent or guardian. Students may not carry over the counter medications in their backpacks.

Regarding cough drops: students are permitted to use cough drops in school without a provider's note. However, for the safety of all students, district policy requires written consent from a parent or guardian, and the cough drops must be stored in the health office, not kept on a student's person or in their backpacks.

A note on emergency action plans & medications: Action plans such as FARE forms for food allergies, school asthma plans, or approval for medications to be administered in school are good for one academic year only. Please remember to renew these orders as needed annually. If your child previously required an allergy or asthma plan and a health care provider has determined one is no longer necessary, please let me know the good news so I can update my records!

All provided medications must be picked up at the end of the school year. We may not store medications, including epipens and inhalers, over the summer.