Health Office Forms and Information

Larisa Ippolito, RN, CSN

School Nurse

(732) 431-4403 ext.2108

Certified school nurses are employed in all of our school buildings.

The 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.

A demographic page in your student's Genesis portal needs to be completed for your child each year. If any of the information changes, please update the Genesis portal. If you have any questions regarding health services, please contact the nurse.

Health Guidelines

During the school day, your children interact with many other children and adults. In order to maintain a healthy environment for all, please follow the guidelines below:
1. If your child has any of the following: fever over 100, vomiting, irritability, diarrhea, rash with fever or behavioral change, mouth sores with drooling, persistent cough and/or nasal discharge or symptoms that prevent your child from participating in school activities he/she should remain home until symptom free for 24 hours or a physician has determined the child is able to return.
2. If your child has a generalized illness (see above) during the school day, he/she will be excluded and should remain home until symptom free for 24 hours or until a physician has determined the child is able to return.

3. If your child has strep throat, he/she is excluded until 24 hours after medication with antibiotics has been instituted.

4. If your child has pink eye (purulent conjunctivitis), he/she will be excluded until examined by a physician and approved for readmission with no purulent (pus) discharge.

5. All cuts and abrasions should be kept clean and covered with a bandage. Any unusual amounts of drainage or swelling will be referred to the child’s medical provider. If your child has impetigo and/or a draining wound that cannot be covered sufficiently, he/she is excluded until appropriately treated.

6. A child will also be excluded for communicable diseases in accordance with New Jersey Law/American Academy of Pediatrics Red Book and/or the Health Department.

7. If your child has any serious injuries, surgery or is hospitalized, a note from the doctor is needed to return to school. The note should indicate if there are any limitations or if your child is allowed to participate in all school activities. The school physician has the final review of any reports and orders from a child’s medical provider.

8. The spread of any infectious disease can be prevented or deterred if students adhere to basic principles of good personal hygiene, cleanliness and recommended use of personal protective measures.

Sports Forms

A physical examination within 365 days of the first practice is required for participation on any interscholastic athletic squad, team, or intramural.

Please see our Sports & Activities page for details.

Physical Examinations

All physical examinations must be conducted by the student’s physician or advanced practice nurse. If the student has no physician or advanced practice nurse, 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.

New Registration Immunizations and Health Requirements

Administration of Medication/Physical Activity Limitations

The links 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.

Allergy Action Plan

Asthma Treatment Plan

Medication Order

Physical Activity Limitations

Self Administer Medication Request - From Parent

Self Administer Medication Request - From Physician

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. Please also see this health guideline for when your child should stay home from school.

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/guardian will be notified.
If the parent/guardian 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 parent/guardian.
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/guardians will be 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.

Communicable Disease Information

In order to prevent the spread of contagious diseases, parents/guardian 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), ringworm, pinworms, impetigo, scabies, and conjunctivitis. Additional information for these, and many more illnesses can be found at the Centers for Disease Control and Prevention website.