Health Forms and Athletic Participation Forms

Health Plans General Forms Sports Participation
2019 Allergy Epipen (FARE) Packet Medications Winter Sports Participation Forms
Asthma Action Plan Emergency Forms  
Diabetes Medical Management Plan Health History  
Seizure Action Plan Pre-participation  

Hard copies of these forms are available in the Health Office

General Information

HEALTH OFFICE CONTACTS

TO REPORT AN ABSENCE

To report an absence for all grades, call 973-694-3702, then press #201, before 8:30 a.m. on the first day of absence. Medical notes must be received within two weeks of the doctor's visit. Post-dated notes will not be accepted as a medically excused absence after that time.

HEALTH SCREENINGS

Health screenings will be conducted during your child's health or physical education class. We expect to begin screenings in the first week in September and finish by March. All 12th-grade students will receive copies of their immunization records before graduating (for future use).

IMMUNIZATION REQUIREMENTS

Any student who has not received the state-mandated immunizations will be excluded from school. Transfer students must present complete records of immunizations upon registration and prior to attending classes. Request for copies of immunization records will be made within 48 hours of request.

MEDICATIONS

No student is permitted to carry any medications during school hours. All medications must be administered by the nurse in the health office. This includes Tylenol, Advil, Lactaid, and Benadryl. Only those students who have presented the properly signed forms for an inhaler or Epi-pen use may self-carry their specific medication.

Please anticipate the student's need for medication for headaches, cramps, body aches, or other discomforts. Medication Administration forms are to be signed by a parent and also by a doctor for over the counter and prescription medications. This form must be properly completed prior to any medication administration. No phone consents will be accepted.

All medications brought to the Health Office must be non-expired, clearly labeled, and in an original container. Any student needing an inhaler, EpiPen, insulin, or any medication for allergic reactions must provide the nurse with a signed Individual Health Care Plan and the separate permission form previously discussed for self-carrying. Any student who has used these medications in the past at our school should have received these forms over the summer months to be returned in the fall. Please send in completed forms and medications as soon as possible.

INDIVIDUAL HEALTH CARE PLANS (IHCP)

Students who have specific medical problems that might need nursing intervention and special teacher consideration might need to have an IHCP on file for each school year. Parents need to review these plans with their medical Doctor, and return them, signed and dated, quickly. Changes can be made in these plans at any time. Students who had medical conditions needing an IHCP last year need to update the plan for this school year. An IHCP can be initiated at any time during the year, as new medical needs arise. Please contact the health office with questions or concerns.

SPORTS INJURIES

All sports injuries and all medical notes must be submitted to the health office within 48 hours of the injury. The Athletic trainer works with the nurses and submits all medical notes to our office. Medical notes must be received within two weeks of the doctor visit. Postdated notes will not be accepted as a medical excuse after that time.

PHYSICAL EXAMINATION REQUIREMENTS FOR ALL STUDENTS AND ATHLETES

To properly care for the health and safety of all students and to meet the requirements of DePaul Catholic High School/Wayne Board of Health, a complete annual physical examination is required of all students each year and is good for one full year (365 days) for both school/field trips and sports requirements. Your child may be asked to return home if these forms are not in place by the first day of school in September. Therefore please mail, fax or personally deliver these forms to our health office as soon as possible.

Parents/Guardians and Physicians must fill out:

Many doctors will ask that the Parent portion is filled in and submitted with the physician portion before he/she will finalize their portion. We recommend that you make a copy for your own records.

A note from the Athletic Trainer: As of 5/1/15, your physicians or practitioners performing physicals for student-athletes must have completed the Student-Athlete Cardiac Assessment Professional Development Module (please check that they have taken this module before performing your exam). In order for the physical to be considered valid for athletics in New Jersey High Schools, the physician or practitioner must sign and date the section under Clearance Form Page that states: Completed Cardiac Assessment Professional Module. The Module is from the State of New Jersey Department of Education and Health.

All necessary forms must be submitted at least one week prior to tryouts/practice (whichever comes first) or clearance cannot be guaranteed in time for participation.

Please include a copy of your child's insurance card (both sides).

Mrs. Nancy Keil, the Athletic Trainer, may be reached at keiln@dpchs.org or you can leave a voicemail at 973-694-3702 ext 240.

Other forms that may apply to your child's health and safety that you would need to bring to your child’s physician for a signature are:

Please contact us with any concerns or questions about the health of your student.