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Medical Forms
Dear Parents:
Welcome to Ma’ayanot!
Below please find a checklist for the enclosed health and emergency forms for incoming students to be completed and returned to school by the date indicated. Health forms from the physician must be dated within the past year.
FORM | DUE BY |
1. Emergency Form | 6/15/2010 |
2. Health & General Consent Form | 6/15/2010 |
3. Physical Evaluation Form – Parts A & B | 8/15/2010 |
4. Up-to-Date Immunization Record | 8/15/2010 |
5. Health Screenings | 8/15/2010 |
6. Inhaler/Medicine Self-Administration Form | 8/15/2010 |
We suggest that you make arrangements to complete these documents before your daughter leaves for the summer. Forms can be submitted to the school as they are completed.
Please note, as per New Jersey school regulations, the school cannot dispense aspirin, Advil or Tylenol.
If you would like to contact me, please leave a message at 201-833-4307 x 111 or send me an email at nurse@maayanot.org. I will return your message as soon as possible.
Sincerely,
Karen Perl, RN
School Nurse
Emergency Form Health Screening
Health and General Consent Form Immunization Record