Ms. Kerri McCloskey
*Required Health Forms:
ES FORM #1 Physical Examination & Child Health History
ES FORM #2 Immunization Documentation
ES FORM #3 Asthma Treatment Plan
ES FORM #4 Food Allergy & Anaphylaxis Emergency Care Plan
ES FORM #5 Seizure Action Plan (SAP)
*Physician orders for any medication/s to be taken in school
*Epi-Pen & Inhalers must be in the original container, labeled with the student's name and the current expiration date.
Emergency Card
Prescription Medication Authorization Form
OTC Medication Authorization Form
PARENT HEALTH INFORMATION
Childhood Illnesses
Concussions/Parent Fact Sheet
Food Allergy Information
kmccloskey@mendhamtwp.org
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Ms. Kerri McCloskeyMs. Kerri McCloskey