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Student health forms
Below are the links to the required health forms. All forms are in PDF format.
If you do not have a PDF reader, you may download the latest version by clicking the link below.
http://get.adobe.com/reader/

All forms must be completed and signed by parent and/or physician. 
New Student Medical Forms:
-Health History Form
-Physical Exam Form
-Vision Exam Form
-Immunization Record
-Mantoux (TB) Form (if necessary)

Allergy:
Food Allergy Action Plan
- Authorization for Medication

Asthma:
-Asthma Treatment Plan
-Authorization for Medication

Fifth Grade Students Going to Middle School:
Updated immunizations (DTaP and Menigococcal as per state requirements).  See Physician for details.  Please download file if needed.

If your child plans to participate in any middle school sport, the State of New Jersey Department of Education, requires that two forms be completed by parent and physician:

- Participation Physical Evaluation History Form
Sudden cardiac death in young athletes

If your child's athletic physical forms are completed by June 15, you may bring the forms to the Travell Health Office. After June 15,  please bring forms to the middle school health office or mail to BFMS during the summer. 

Medication During School Hours:
-Authorization for Medication

If you have any questions, contact Judi Caruso at 201-670-2760 ext. 56520 or via email at jcaruso@ridgewood.k12.nj.us

Updated 1/11/17