Health Office Forms & Information

Certified school nurses are employed in all of our school buildings.
These nurses work under a set of Standing Orders, signed by the school physician, and follow policies approved by the Board of Education as outlined in the Procedure Book for School Nurses.

One signed demographic sheet from Genesis needs to be returned for your child each year. If any of the information on the card changes, please notify the school nurse immediately. If you have any questions regarding health services, please contact the nurse in your child's building.
Sports Forms

A physical examination within 365 days of the first practice is required for participation on any interscholastic athletic squad, team or intramural. A health history update is required for each sport season. Every item on the forms must be completed. Incomplete forms will be returned to the student.
The Sports Physical Packet is to be completed by the parent and physician.
Please visit Genesis Parent Portal to complete the following:
  1. The Health History Update Questionnaire (completed by parent each sports season)
  2. Electronic Signature once per school year:
    • Concussion form
    • Opioid Fact Sheet
    • Sports Related Eye Injuries
    • Sudden Cardiac Death Pamphlet
Physical Examinations

All physical examinations must be conducted in the student's medical home (private physician/advanced practice nurse/clinic). If the student has no medical home, the school physician may perform the examination upon the written request of the parent/guardian.

An entrance physical examination is required upon school enrollment. For students transferring from a New Jersey school, the entrance exam should be forwarded upon entry. If transferring from out of the state or out of the country, the entry physical exam documentation should be submitted within 60 days of entry.

It is recommended that every child have at least one physical examination during the elementary years, during the middle school years, and in high school.
Administration of Medication/Physical Activity Limitations

The links in the table below provide information and required forms on the administration of medications.
* If you have a child with asthma or life threatening allergic reactions, please contact the school nurse!
Student Attendance

Regular attendance is necessary if students are to be successful in their studies. If your child is absent for any reason, please contact your school's Attendance Hotline before the beginning of the school day. The school will make reasonable attempts to contact the parents of all students who are absent and have not called. This is for the safety of your child. When your child returns to school, send in a note listing the reason for the absence. A basic guideline for when your child should stay home from school and a form you may use in place of an absence note is provided on the following links.
Communicable Disease Information
In order to prevent the spread of contagious diseases, parents are required to notify the school nurse whenever their child contracts one of the following: chickenpox, German measles, measles, mumps, streptococcal infections (including scarlet fever), staphylococcal infections, influenza, hepatitis, mononucleosis, meningitis, encephalitis, tuberculosis, pediculosis (head lice), ring worm, pinworms, impetigo, scabies, and conjunctivitis. The following links provide further information.
Signatures & Emergency Care

Medication orders, permission to resume physical activity, reports of physical examinations, exclusion/return to school, requests for home instruction, and all other pertinent medical communications require the actual SIGNATURE of the physician, dentist, or advanced practical nurse. Counter-signatures or stamps alone are NOT acceptable.

A child who becomes ill or who is injured at school will be seen by the school nurse.
  • If, in the nurse's judgment, further care is required, the parent will be notified.
  • If the parent cannot be reached, the nurse will contact the person designated on the student's demographic sheet from Genesis.
  • Transportation to the home or the source of medical care is to be provided by the parents. No child will be permitted to go home without being accompanied by a responsible adult. In a serious emergency, the services of the local rescue squad will be utilized and the parents notified promptly.
If you plan to leave your child in the care of relatives or friends while you are out of the area, please notify the school nurse in writing. Also, please consider providing a notarized letter of permission for the caretaker to act in your place in a medical emergency.
Links & Additional Resources

Freehold Area Health Department