- Physical Examination Form
- Certificate of Immunization
- Anaphylaxis Emergency Health Care Plan
- Permission for Designees for Emergency Administration of Epinephrine
- Asthma Treatment Plan
- Request for Administration of Medication
- Parent Guardian Permission to Release and Exchange Confidential Information
- CDC – Seasonal Influenza (Flu) – Flu Information for Parents
Nina Treitler, RN, CSN
South Mountain School Annex
112 Glenview Road
South Orange, NJ 07079
973-378-2801 ext. 4
Sharyn Wills, APN, CSN
South Mountain School
444 South Orange Avenue
South Orange, NJ 07079
973-378-5216 ext. 4503
If you need to get in touch with us immediately, please contact us at the phone numbers above.
A Brief Overview of Our District Medical Policies
- If your child has a health care problem, such as asthma or food or other allergies, please inform the school nurse.
- If your child is diagnosed with a contagious illness, such as strep throat or conjunctivitis, a doctor’s note is required to return to school.
- If your child isn’t feeling well prior to the school day or has a fever, please keep them at home.
- All medication is to be given to the nurse, including OTC medications (Tylenol, cough drops, etc). All medications to be given at school, must have a district medication form filled out, signed by your child’s physician. The medication must be sent in the original container and brought in by the parent.
- If your child is injured outside of school and requires crutches and/or a cast or splint has been applied, please inform the school nurse of their condition prior to their return so appropriate arrangements can be made for their safety in school.
Students who have experienced orthopedic injuries may return to school after following the steps below:
- The student should return to school with a note from the treating physician which details any limitations on activities as well as the need for orthopedic appliances. *( Casts, splints, crutches, canes will be permitted in the school building if specified in the doctor’s admittance note to the school nurse.)
- Students on crutches need a note from the treating M.D., stating that the student is proficient in crutch walking and stair climbing and that the student may be in school on crutches.
- For the student’s safety it is recommended that the student be brought to school either a little early or a little late and also picked up a little early in the afternoon.
Please speak to your school nurse to finalize these arrangements.