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    Nurse's Notes
     
    Name: Mrs. Patricia Smith                                             
    Email Address: psmith@shoreregional.org 
    Phone number: (732)-222-9300  x2500                                           
     
     
    The goal of the Health Office is to ensure each child has a happy and healthy experience at SRHS.  In order to achieve this goal, there are several state mandated requirements.  There are several forms on this website available for your convenience. 

     

    Over The Counter Medication Permission Form 2018:  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. 

     

    2017 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.

     

     

    Asthma Treatment Plan 8/2014 :  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.

     

    2018 Food Allergy Action 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.

     

    Parent/Guardian Permission for Medication Administration:  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.

     

    Health History Form (sports):  Health History must be dated within 60 days of the first day of official practice and be submitted to the Health Office. Please ensure that form is complete prior to submission.  Explain all "yes" answers.

     

    Sports Physical Form:  Sports Physicals submitted to the Health Office are valid for 365 days from date physical was performed.  Please ensure all sections of the form are completed prior to submission.

     

    Immunization Requirements:  Click on Immunization Requirements on Health Office home page. 

     

                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

               

                Insurance information is available from the school nurse:

    • Low Cost Insurance:  Student Accident Insurance
    • NJ Family Care Program
    • Vision Service Plan:  The school nurse can refer students to this program.  It allows children across the country whose parents work, but are ineligible for government support and cannot afford the eye exams and eyeglasses they need. 

     

    Please contact the school nurse with any questions or concerns you may have with the above information.