Medical Forms

FOR STUDENTS NEW TO MA'AYANOT (FRESHMEN AND TRANSFERS)

Below please find downloads for the required health forms to be completed and returned to school before admission cards can be issued for new students.  Health forms from the physician must be dated within the past year.

Physical Examination

Immunization Record

Health Screening

Self Medicate Form for Epi-Pen or Inhaler

Athletic Participation for Returning Students, Grades 10-12

If your daughter is planning on participating on a sports team next year, we must receive a new Physical Examination Form. Part A is completed and signed by a parent and Part B is completed and signed by a physician.  Click here for the form

This is a state mandated form and must be dated within one year of athletic participation.

Self-Medication

If your daughter requires self-medication, epi-pen or inhaler in school, please complete a release form for the current school year.  Click here for the form.

Please note, as per New Jersey school regulations, the school cannot dispense aspirin, Advil or Tylenol.