Please use the drop-down menu to access important health forms, medical documents, and helpful information. Each section contains the forms and resources needed throughout the school year. Please review the appropriate section carefully and complete required forms by the requested deadlines to help ensure your child's health needs are safely managed at school.

Asthma Treatment Plan - If your child has asthma, this must be completed and signed by both the student's healthcare provider and parent/guardian each school year. To ensure the form is valid for the upcoming school year, it must be dated on or after July 1 preceding that school year. Completed forms should be returned to the School Nurse's Office with required medical equipment (inhaler etc..) before the first day of school so appropriate accommodations and emergency care plans can be in place.
Self carry/Self Administer Medication Form - to be completed by the treating healthcare provider and signed by a parent/guardian if your child needs to carry an inhaler/epi-pen.
Life-Threatening Allergy Plan - If your child has asthma, an updated plan must be completed and signed by both the student's healthcare provider and parent/guardian each school year. Please use the link below to access the required form. To ensure the form is valid for the upcoming school year, it must be dated on or after July 1 preceding that school year. Completed forms should be returned to the School Nurse's Office with required medical equipment (EpiPen, etc..) before the first day of school so appropriate accommodations and emergency care plans can be in place.
Medication Authorization Form - to be completed by the treating healthcare provider and signed by a parent/guardian if your child requires a daily medication during the school day.
Seizure Action Plan - The health and safety of students with seizure disorders is a priority. We work closely with parents/guardians, healthcare providers, and school staff to help ensure students with epilepsy or other seizure disorders receive appropriate care while at school and during school-sponsored activities.

Before the start of each school year, or whenever there are changes to your child's treatment plan, please provide the School Nurse with an updated Seizure Action Plan completed by your child's healthcare provider. This form should be dated on or after July 1 for the upcoming school year.

If your child has prescribed emergency seizure medication, please provide the medication to the Health Office in its original pharmacy-labeled container along with the required medication authorization forms. Parents/guardians are responsible for replacing medications before they expire and for notifying the School Nurse of any changes to medications, seizure activity, emergency contacts, or healthcare provider instructions.

Please notify the School Nurse if your child experiences any significant changes in seizure frequency, type, triggers, or treatment during the school year. Open communication helps us provide the safest and most appropriate care for your student.

The forms and resources below are available to help support your child's health needs while at school. If you have any questions or would like to discuss your child's individual healthcare plan, please contact the School Nurse.

Universal Health Care Record - the standard New Jersey form used to document a student's physical examination and immunizations for school entry.
Preparticipation Physical Exam (PPE)- commonly referred to as the “sports physical”, required for students in Grades 6-12 for participation in sports
Food Allergy Emergency Care Plan - to be completed by the treating healthcare provider and signed by a parent/guardian if your child has a food or bee/wasp allergy

Florence Township School District

Florence Township School District