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Health Forms
Health Forms
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Notify the school nurse if your child has any allergies. If your child has a Life Threatening Allergy and requires an Epi Pen, please have your doctor complete an Allergy Action plan/Epi-Pen Form. This form must must be renewed every school year. See "Forms" below
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New Jersey requires students with asthma to have an Asthma Action Treatment Plan on file with the School Nurse. It must be completed by you and your child’s doctor and provided to your school nurse. This document needs to be renewed every school year. See "Forms" below
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If your child should need medication in school, parent/guardian and the physician must complete an authorization form. NO MEDICATION, INCLUDING OVER THE COUNTER MEDICATION, WILL BE GIVEN WITHOUT A COMPLETED MEDICATION AUTHORIZATION FORM. See "Forms" below
- Allergy Action Plan-Epi-Pen Form (Pre-K through 5th Grade)
- Allergy Action Plan-Epi-Pen Form (6th Grade through 12th Grade)
- Asthma Treatment Plan
- Medication Authorization
- Physical Exam Form (6th Grade through 12th Grade)
- Physical Exam Form (Pre-K through 5th Grade)
- Sports Health History Questions
- Westfield Board of Health Free physicals