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 preschool students must submit the Preschool Physical Exam and Immunization Record (C). Per state law, all preschool students also need to provide documentation of a flu shot by December 31.

 

All incoming Kindergarten students and all NEW 1st must submit the Health History & Appraisal Form (B) and Universal Health Record (G).

 

Requirements for All Sixth Graders 

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 (B) 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. 

 

(A) Immunization Requirement Form 

(B) Health History and Appraisal

(C) Preschool Physical Exam Record

(D) Required Documentation for Students with Epi-Pens

(E) Asthma Treatment Plan 

(F) Medication Administration Forms 

(G) Universal Health Record