Health Office Forms

  • health office forms

    the appropriate forms must  be completed and returned to your school nurse:

    Required :

    1. Physical Form - Upon initial enrollment
    2. Required Annual Student Medical Update Form - Update Annually
    3. Medication Consent Form - Update Annually 
    4. Stock Medication Form- Update Annually / Optional

    Care PLans:

    1. Asthma Action Plan
    2. Food Allergy Plan
    3. Seizure Action Plan

    These forms can be found on the Realtime Parent Portal - Click here to access these required forms.

  • N.J.A.C. 6A:16-2.4(a)1 – Health Records

    School districts must maintain for each student a student health record that includes the findings of health histories, medical examinations, and health screenings.


    N.J.S.A. 18A:40-4 – Required Physical Examination upon Enrollment N.J.A.C. 6A:16-2.2

    This section specifically addresses the physical examination required for enrollment in a New Jersey public school. For all new enrollees, including those enrolling from out of state or out of the country, the pupil’s parents/guardians have 30 days to provide evi- dence of a medical examination that includes the following:

    1. Evidence of immunizations pursuant to N.J.A.C. 8:57-4.1 through 4.24;

    2. A medical history, including allergies, past serious illnesses, injuries, operations, medications, and current health problems;

    3. Health screenings including height, weight, hearing, blood pressure, and vision; and,

    4. A physical examination.

    New Jersey recognizes the importance of a medical home for every child. The enrollment medical examination provides a baseline for future health and educational evaluations. However, if a student does not have a medical home, the school district shall provide the examination at the school physician’s office or other comparably equipped facility.


Last Modified on April 19, 2021