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Admissions Health Forms
- Student and Medical Information Form (Grades PreK – 8)
- Universal Child Health Record (Grades PreK – 8) : All New Students must return with Immunization Record Attached & Update each year with any medical changes; )
- PPE History Form – filled out by parents and given to physician to keep on file
- Annual Athletic Pre-Participation Physical Examination Form (PPE) – filled out by Physician and kept on file in Physician’s office. (3rd Grade – 8th Grade: Physical form for Sports)
- PPE Medical Eligibility Form – signed by physician and returned to nurse’s office
- Medication needed during School – Information
- Medication Order Form (pdf)
- Asthma Treatment Plan (pdf)
- Physicians Orders for Allergy Emergency Treatment (pdf)
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Immunization Information
- Pre-K: Immunization Schedule
- Kindergarten: Immunization Schedule
- 6th Grade: Immunization Schedule
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Athletics Health Forms
- Athletic Permission Slip – signed by parent (Required for each Sport/Season – declaring which sports)
- Athletic Code of Conduct (pdf) – signed by athlete & parent
- PPE History Form – filled out by parents and given to physician to keep on file
- Annual Athletic Pre-Participation Physical Examination Form (PPE) – filled out by Physician and kept on file in Physician’s office. (3rd Grade – 8th Grade: Physical form for Sports)
- PPE Medical Eligibility Form – signed by physician and returned to nurse’s office
- Health History Update Questionnaire – signed by athlete & parent – (Only needed if physical was completed 90 days or more prior to the first day of practice)
- Sudden Cardiac Death Pamphlet Parent-Guardian Sign-Off Form (N.J.S.A. 18A:40-41d) – signed by athlete & parent (State required) after reading Cardiac Pamphlet.
- Opioid Use and Misuse Educational Fact Sheet and Parent/Guardian Sign-Off Form – signed by athlete & parent (State required) after reading Opioid Use and Misuse Educational Fact Sheet
- Concussion Fact Sheet and Acknowledgement Form – signed by athlete & parent (State required)
- Sports-Related Eye Injuries Fact Sheet for Parents/Guardians (N.J.S.A. 18A:40-41.9)
Please contact the school nurse with any questions:
lmalinowski@oakhillacademy.com
732-530-1343 ext. 212
