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Neptune City School District

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    • Neptune City School District
    • Health Office Forms

    Nurse

    • Welcome
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    • Medication Policy
    • Too Sick for School?
    • Parent/School Communication
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    • Forms for Health History

      MEDICAL HISTORY UPDATE -Please use this form to update your child's medical conditions, medications taken or allergies

      Forms for Medication

      PERMISSION TO ADMINISTER MEDICATION IN SCHOOL - This is for any medication that is not for asthma or an epi-pen                            

      ASTHMA TREATMENT PLAN-English
      ASTHMA TREATMENT PLAN-Spanish
       
      Allergy Action Plan- Epi-Pen English and Spanish

      Forms for Sports

      English

      SPORTS PHYSICAL FORM-English

      SPORTS PHYSICAL UPDATE - Use this form if your physical was completed MORE  than 90 days prior to the first day of practice

      CONCUSSION INFORMATION -All student athletes and their parents must read and sign

      SUDDEN CARDIAC DEATH INFORMATION-all parents and athletes must read

      ACKNOWLEDGMENT OF RECEIPT OF SUDDEN CARDIAC DEATH INFORMATION-must be signed

      EYE INJURY FORM

      OPIOID FORM

      OPIOID FORM Acknowledgement

       

      Spanish

      FORMULARIO FISICO DEPORTIVO (Padres llenar y entregar al medico)   

      FICHA FISICA DEPORTIVA (Llevar al Doctor para que la llene)   

      ACTUALIZACIÓN FÍSICA DEPORTIVA - Use este formulario si su examen físico se completó MÁS de 90 días antes del primer día de práctica (Spanish)  
       
      INFORMACIÓN DE CONMOCIONES -Todos los estudiantes atletas y sus padres deben leer y firmar

      INFORMACIÓN SOBRE MUERTE SÚBITA CARDÍACA: todos los padres y atletas deben leer en español  

      ACUSE DE RECIBO DE INFORMACIÓN DE MUERTE SÚBITA CARDÍACA-debe estar firmado en español   

      FORMULARIO DE LESIONES OCULARES

      FORMA OPIOIDE

      FORMULARIO OPIOIDE Reconocimiento    

       

       

       

    210 West Sylvania Ave, Neptune CIty, NJ 07753

    Phone: 732-775-5319

    Fax: 732-775-4335

    Email: info@neptunecityschool.org

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