http://www.hhschools.org/health/documents/epi/Epi_Pen_Form_#1-Parents_Auth_to_Admin_(6).pdf http://www.hhschools.org/health/documents/epi/Health%20History%20Questionnaire%20(5).docs Hasbrouck Heights School District

Registration 2009-2010

District Registration Form
Registration Requirements

H1N1 Influenza Information

Important Health and Medical Documents

Enrollment/Registration

Student Information Form
Physical Form
Immunization Form
Dental Form
Health History Questionnaire
Authorization to Exchange Information Form
Health Screening Form
Medication Policy
Return to School Guidelines

Medications

Medication Policy
Physicians Medication Order Form
Health History Questionnaire
Authorization to Exchange Information Form
Self-Adminstration of Medication(s)

Health Screenings

Health Screening Form
Cover Letter for Parents Requesting Private Examination
Physical Form
Dental Form

Immunization

Immunization Cover Letter
Immunization Form
Immunization Requirements for NJ
Immunization Schedule 0-6
Immunization Schedule 7-18
Immunization Religious Exemption Form
Immunization Medically Exempt Form

EPI Pen

EPI Pen Cover Letter
Medication Policy
Physician’s Medication Order Form
Food Allergy Action Plan
Health History Form
Epi Pen Form #1
Epi Pen Form #2
Epi Pen Form #3
Authorization to Exchange Information Form

Asthma

Asthma Cover Letter
Medication Policy
Physicians Medication Order Form
Updated Health History Form
Asthma Treatment Plan (Action Plan)
Child Care Asthma (Emergency Care Plan)
Asthma Questionnaire Form
Health History Form
Authorization to Exchange Information Form