- School One Elementary
- Health Forms & Information
School Nurse
Page Navigation
-
Universal Child Health Record (Physical Form)
Please have your physician complete the attached universal child health record when receiving his/her physical.
-
Health History
Parents/guardians of new registrants in the Scotch Plains-Fanwood Public Schools are required to complete the health history form.
-
Request for Administration of Medication
Pupils requiring medication (Prescription and/or Over the Counter) during school hours must have The Request for Administration of Medication Form completed by a physician which identifies the diagnosis, the type of medication, the time(s) for administration, and the number of days that medication is to be administered. This form must be signed by the parents as well.
Each prescription must be in a correctly labeled prescription bottle. If it is an Over the Counter medicine it must be in it's original bottle. It is District policy that the parent/guardian or a responsible adult bring the medication to school. Children must NOT transport the medication to or from school. -
Administration of Epinephrine/Benadryl
If your child has an allergy that may possibly require emergency medication at school please have the following form completed by your MD and returned to school by a parent or guardian, along with the prescribed medication.
In addition please complete this allergy reaction interview form to help better describe your child's allergic reactions: Allergy Reaction Interview Form
-
Asthma Treatment Plan
Please click on the link to access the Asthma Treatment Plan prepared by The Pediatric/Adult Asthma Coalition of New Jersey. This asthma action plan meets NJ Law N.J.S.A. 18A:40-12.8 (Physician's Orders), and the District's Request for Self-Administration of Medication.
-
NJIIS (New Jersey Immunization Information System) (Click on link under description)
New Jersey Immunization Information System (NJIIS)...
Your child must meet State mandated immunization requirements in order to attend any licensed day care, preschool, public, parochial or private school in New Jersey. Your healthcare provider supplies a record of these immunization to the schools which are maintained on a State-approved form (A45).
The New Jersey Immunization Information System has been developed to provide a confidential population-based electronic data base that collects and stores vaccination data for New Jersey residents. New Jersey schools are assisting in this project by inputting data from the students' immunization records. Participation in this program is free and will provide families with a permanent record of their child's immunizations, as well as reminders of the need for any additional doses.
Your child's immunization record is confidential. It is only available to you, the Health Department, and its related service agencies (your child's schools) and the health provider you choose.
For further information please visit : http://njiis.nj.gov -
NJ Family Care (Click on link under description)
Please click on the link below for information on NJ Family Care, a low cost or no cost health insurance program offered by the State of New Jersey as a means of providing affordable health coverage for kids and certain low-income parents/guardians. If you or your children are New Jersey residents and need more information on this program, please read through the pages of the NJ Family Care website to learn how to become a part of this program.
http://www.njfamilycare.org/
-
Injuries or Prolonged Illness
Please inform the school nurse if your child has suffered a serious injury or a prolonged illness. A note from the attending physician outlining specific restrictions, if any, must be presented to the school nurse when your child returns to school.
This is particularly important in orthopedic injuries as limited physical mobility may restrict participation in school activities.