Health Forms & Links
All health forms are available for download within the Parent Portal. If you need a paper copy of any form, it may be picked up in either school's main office.
If you have any questions or need additional information, please call (732) 741-4022 ext. 2000 or (732) 741-7112 ext. 3000.
Medical Forms
Sports Physical Information and Forms
Every student must have a current physical exam completed within 364 days of the start date of each season: Annual Athletic Pre-Participation Physical Examination Form
If a current physical exam is on file, but completed more than 90 days from the start of the season, a Health History Update Questionnaire is required.
The following health information is required to be read and acknowledged by both parents and student each year:
- Sudden Cardiac Death in Young Athletes Brochure
- Sudden Cardiac Death Pamphlet Sign-Off Sheet
- Opioid Use and Misuse Educational Fact Sheet
- Opioid Use and Misuse Sign-Off Form
- Concussion Fact Sheet and Sign-Off Form
- Sports-Related Eye Injuries Fact Sheet for Parents/Guardians
Please note the documents above which require a parent/guardian sign-off form* (Sudden Cardiac Death, Opiod Use and Misuse, Concussion). These forms, whether personally distributed or electronically uploaded, must be individually signed and returned. One generic signature for all documents is unacceptable.
*Please only return sign-off sheets to the nurse.
Notices
All 6th graders are required to have a Tetanus booster after their 10th birthday and a meningococcal vaccine in order to attend 6th grade.
Please send the appropriate documentation to the nurse’s office immediately. Students will be excluded from school if they do not have these shots.
A fact sheet on meningococcal vaccines can be accessed at: Meningococcal Invasive Disease FAQ.
If you have any questions, call Ms. Redmond at 732-741-7112 Ext. 3043 or email her at lredmond@littlesilverschools.k12.nj.us.
N.J.S.A. 18A:40-42 requires public schools to distribute a fact sheet about vaccination against Human Papillomavirus (HPV). ccess the fact sheet Click here.
Pediculosis, or head lice, is a condition that each year affects approximately six to 12 million children between the ages of three and 12 years of age, and about one in every 100 elementary school children. Head lice are parasites that are generally found on the scalp, around the ears, and at the back of the neck. The adult louse is about the size of a sesame seed, and can be a reddish brown color. Eggs, or nits, are smaller and silver or white in color. The favorite places for lice to be are behind the ears and at the nape of the neck although they may be anywhere on the scalp. Differentiation between lice and dandruff can be made if the speck can be flicked off the hair shaft, it is dandruff. If it is attached, it is probably lice
Head lice are not a sign of poor hygiene and they do not transmit disease. Transmission from one child to another can occur during direct contact or sharing of personal items such as combs, brushes, caps or helmets.
The most common symptom of head lice is head scratching, particularly at night, although red bite marks may also be noticed. If you suspect that your child has head lice, he or she should be examined by your health care provider. Nit picking with a fine-‐tooth comb along with safe and effective products are available, both over the counter and by doctor’s prescription, to treat this problem. It is important to follow the directions carefully. Parents should also wash in hot water or dry-‐clean all recently worn clothing, hats, used bedding, and towels. Personal care items such as combs, brushes and hair clips should also be washed in hot water.
My goal as school nurse is to provide you with the information you need to safeguard your child’s health, and ensure that his or her education is not disrupted, but remains the most positive experience possible.
Please visit the the Lice Information link below for detailed lice identification and treatment. I hope you find this information useful, and I send best wishes to your child for a rewarding school year. Students identified with lice will be sent home and must be treated before returning to school. Please have the student report directly to the nurse’s office upon reentry to be checked before classes.