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Nurse's Notes
Name: Mrs. Patricia Smith
Email Address: psmith@shoreregional.org
Phone number: (732)-222-9300 x2500The goal of the Health Office is to meet your child's needs and provide them with a welcoming and healthy experience at Shore Regional High School. Please contact Nurse Smith if your child has a health concern or if you need guidance navigating the health care system. There are several forms on this website available for your convenience.2022 - Over The Counter Medication Form: This permission form needs to be signed by a parent/guardian. It authorizes the school nurse to administer over the counter medications to your child.2022 - SRHS Prescribed Medication Form: This permission form needs to be signed by the parent/guardian and your child’s physician. It authorizes the school nurse to administer prescription medications to your child.
2022 Asthma Treatment Plan: This permission form needs to be signed by the parent/guardian and your child’s physician. It authorizes the school nurse to administer asthmatic medications to your child at school.
2022 Food Allergy and Anaphylaxis Plan: This permission form needs to be signed by the parent/guardian and your child’s physician. It authorizes the school nurse to administer medications to treat a food allergy emergency.
2022 Self Administered Medication Form: This permission form needs to be signed by the parent/guardian. It allows your child to self-administer an inhaler or auto-injector medication &/or have the nurse administer the medication.
2022 Health History Update Form: must be completed if the physical examination was completed more than (90) days prior to the first day of official practice in an athletic season.
2022 Sports HH and Physical: Sports Physicals & Sports Health History Forms are submitted to the Health Office. The sports physical is valid for 365 days from the date physical was performed. Please ensure all sections of the form are completed prior to submission.
COVID Guidelines NJ DOH 1/10/22
Insurance Information:
2021 Student Accident Information
NJ Family Care #1-800-701-0710
Health Care Access:
Monmouth Family Health Center # 732-923-7100
Parker Family Health Center # 732-212-0777
Vision Service Plan - contact Nurse Smith for information
The school nurse shall conduct the following health screenings:
Grade 9: Height, weight, and blood pressure
Grade 10: Height, weight, blood pressure, visual acuity, and scoliosis
Grade 11: Height, weight, blood pressure, and auditory acuity
Grade 12: Height, weight, and blood pressure
Please contact the school nurse with any questions or concerns you may have with the above information.
