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Medical Forms
May 2011
Dear Parents:
Welcome to Ma’ayanot!
FOR STUDENTS NEW TO MA'AYANOT (FRESHMEN AND TRANSFERS)
Below please find a checklist for the enclosed health and emergency forms for incoming students to be completed and returned to school by August 15, 2011. Health forms from the physician must be dated within the past year.
FORM |
|
1. Emergency Form |
2. Health & General Consent Form |
3. Physical Evaluation Form (parts A & B) |
4. Up-to-Date Immunization Record |
5. Health Screenings |
6. Inhaler/Medicine Self-Administration Form |
ALL FORMS CAN BE DOWNLOADED - SCROLL DOWN TO SEE LIST
It is imperative that all health forms are completed and submitted prior to your daughter starting school. We suggest that you arrange to complete these documents prior to your daughter leaving for the summer. Forms can be submitted to the school as they are completed. All forms are due in the Ma’ayanot office by August 15th.
Please note, as per New Jersey school regulations, the school cannot dispense aspirin, Advil or Tylenol.
Returning students
An Emergency Contact Form with permission slip and General Health Consent Form for the upcoming school year must be returned to the office. If any information changes during the course of the school year, please send corrections to the school office. Please sign both forms and return by August 15th.
Athletic Participation
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. The form can be downloaded from our website, www.maayanot.org under Forms – Medical Forms – Physical Examination.
This is a state mandated form and must be dated within one year of athletic participation.
The form must be submitted before your daughter can participate in the sports program in September. We are bringing this requirement to your attention now so you have opportunity to take care of it at your convenience.
Self-Medication
If your daughter requires self-medication, epi-pen or inhaler in school, please complete a current release form for 2011-2012. The form is also on the health section of the Ma’ayanot website.
If you have any questions, you may contact me at 201.833.4307 x 111 or nurse@maayanot.org.
Thank you for your cooperation.
Sincerely,
Karen Perl, RN
School Nurse