All medications and completed medical forms must be brought to school by a parent or guardian by the first day of school. Medical forms are available for download below. To request a hard copy, please email office@politz.org or call 856-667-1013. Any student whose parent or guardian has not submitted the completed, state-mandated forms prior to the first day of school WILL BE EXCLUDED from school until all requirements are met. 

All new students from Toddler-8th Grade must submit the Student Health Inventory form.

 

All NEW preschool students must submit the Preschool Physical Exam.

 

All incoming Kindergarten students (even those currently at Politz) and all NEW 1st must submit the Health History & Appraisal Form.

 

All sixth graders must provide documentation of Tdap and Meningococcal vaccinations prior to the first day of school. The New Jersey State Department of Health also recommends that children have a physical prior to entering sixth grade. Please have your child's doctor complete the Health History & Appraisal form. If you child has an appointment with the doctor past the first day of school, a note from the doctor or an appointment card with the date of exam is required before the first day of school. 

 

FORMS:

Immunization Requirement Information

Health History and Appraisal - ALL KINDERGARTEN STUDENTS & ALL NEW 1st-8th GRADERS

Preschool Physical Exam Record - ALL NEW TODDLER to PRE K STUDENTS

Student Health Inventory - ALL NEW STUDENTS

 

The following forms are only required for students needing Epi-pens, Asthma Medications or other daily medications to be administered in school:

Asthma Treatment Plan 

Medication Administration Forms