- Piscataway Campus
- Health Office Forms
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ALLERGY Action Plan
This is used for children with allergies to foods, medications, insects etc that require prompt action and potentially the use of an automated epinephrine injector.
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ASTHMA Action Plan
This form MUST be completed for any student with asthma that requires the use of an inhaler and/or nebulizer. Students are not permitted to carry inhalers without this paper work.
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Medication Needed During School Hours Form
This form is REQUIRED to be filled out by the child's physician if medications are needed to be given during school hours. This must also be signed by the parent/guardian. Medications can not be given with out this form.Authorization for Medications to be Taken During School Hours 2016.pdf 24.47 KB (Last Modified on June 14, 2016) -
Permission for School MD to Complete Student Physical
This form MUST be completed if your child requires a physical and you would like the School MD to perform the physical.
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Personal Doctor Physical Form
This can be used for any student needing a physical that is NOT RELATED to SPORTS.
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Seizure Action Plan
Complete this form if your child has seizures. This will assist in quick response customized for your child's needs.
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Sports Physical Forms - New Athletes or Athletes' with Expired Physicals
COMPLETE FORMS ONLINE IF POSSIBLE - click here
If paper form is needed email the school nurse and she will work with you to get the forms completed.