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Mahwah Township Public Schools

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Health Forms

 Health Admission Requirements

Requirements for Admission

Requirements for Admission

Form 2H: Health History Form

Form 2H: Health History Form

Health Forms for Admission to Schools Grade Pre-K-5 only 

Form 3H: Health History Form

Form 3H: Health History Update Form

Health Forms for Admission to Schools Grade 6- 12 only 

Form 4H: Physical form is to be completed by physician.

Form 4H: PPE Pre-participation Physical Evaluation

Form is to be completed by physician for athletic participation.

Form 5H:  PPE- Medical Eligibility Form

A physical form is to be completed by physician and returned to the school nurse prior to start of athletic practice.

Medications K-12

Form 1M: Daily and PRN Medication

Form 1M: Daily and PRN Medication

Form 1M: Daily and PRN (when necessary) medications eg: Tylenol, Advil, Mylanta

Form 2M: Asthma Medications

Form 2M: Asthma Medications

Form 2M: Asthma medications - RAD/Asthma Action Plan - double sided

Form 3M: Severe allergic reaction - Epinephrine

Form 3M: Severe allergic reaction - Epinephrine

Form 3M:  Severe allergic reaction - Epinephrine

Student Accident Insurance

Accident Insurance Protection for Students

Accident Insurance Protection for Students