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School Nurse & Medical Forms for Students » Home

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*To access the website for the nurses, please click the staff link to the right.*
 
Your child's health is very important to us. Providing medical information about your child assists us in responding appropriately to support student health and health maintenance. Please click on the title of the forms from the list below, complete as required, and return to your child's school nurse at your earliest convenience.
 
Routine screenings, including height, weight, and blood pressure are completed annually for all students. For students in 6th and 8th grades, vision screening is also completed. For students in 7th grade, hearing and scoliosis screenings are also completed. If you would like to opt your child out of routine health screenings, please notify one of the school nurses in writing.
This form provides important allergy information to school medical personnel so that an appropriate individualized health care plan is in place during the time the affected student is in the school environment.
Diabetes Management Plan
This form provides important diabetes management information to school medical personnel so that an appropriate individualized health care plan is in place during the time the affected student is in the school environment.
Asthma Treatment Plan
This form provides important asthma treatment information to school medical personnel so that an appropriate individualized health care plan is in place during the time the affected student is in the school environment.
Health Immunization Requirements for Sixth Graders/11-Year-Olds
The NJ Department of Health and Senior Services requires parents/guardians to provide updated immunizations records for their child prior to the child entering sixth-grade or reaching 11 years of age.
This year, MTPS has implemented a change to the process of the nut-free table in the cafeteria.  As we strive to continue to keep our students safe, please be sure to read the information on this change here.
Permission to Administer Medication During School
This form grants permission to the appropriate school personnel to administer medication to a student during school hours.
Permission for Designee to Administer Epi-Pen and Waiver of Liability
This form allows parents/guardians to grant permission for a designee to administer an epi-pen to their child during the school day.
 
This form allows parents/guardians to request permission for a student to carry and use an inhaler or epi-pen while on or off school property.
Routine Physical for Fourth and Seventh Graders
Although not required, the district recommends that a child have a physical exam in fourth and seventh grades.
Seizure Action Plan
Questionnaire for Parent of a Student with Seizures and Seizure Action Plan
The forms above provides important seizure treatment information to school medical personnel so that an appropriate individualized health care plan is in place during the time the affected student is in the school environment.
FOR MIDDLE SCHOOL STUDENTS ONLY
 
Sports Physical Paperwork
Please see the link above for sports physical paperwork.
 
Consent for School Physician to Conduct Sports Physical Exam
Sports physicals for seventh and eighth graders, as well as for incoming sixth graders, must be conducted by the student’s personal medical doctor/medical facility. The only exception is for parents of those students who have qualified for free or reduced lunch. Your children may be eligible for a sports physical to be performed at school. Please contact your middle school’s nurse for further instructions before completing this form.
 
Please read this information for sports-related facts.