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Forms

Please click on the link below to download the proper form. If you are unsure which form you need to complete, please call the nurse's office for assistance. 856-424-4554 (option 2)

​       **MEDICATION ADMINISTRATION POLICY PLEASE CLICK ON LINK BELOW**
​           -Cherry Hill Public Schools- MEDICATION POLICY

The medication administration forms are to be used for all prescribed medications and over the counter medications. NO medication will be administered in school without the proper completed forms. please see the MEDICATION ADMINISTRATION POLICY!
This form must be completed for all prescription/over the counter medication administered in school. 
 
 

Administration of Epinephrine

If your child has a life threatening allergy and may require the administration of Epinephrine and/or Benadryl while at school, the following forms are required. Please complete the Administration of Epinephrine form and a Medication administration for for each medication  

Medication will not be accepted in the nurse’s office without the proper completion of the below forms. All medication must be in the original containers.  Epipens should not be expired and must have a prescription label which matches the doctor's order.

*Cherry Hill Public Schools- Management of Life-Threatening Allergies in School Policy

Middle School Sports Physical Information

  • Middle School

A physical must be conducted and recorded by your physician or nurse practitioner on the New Jersey State Pre-Participation Physical exam form within 365 days of the sport's first day of practice. Please also have the athletic Eligibility Form completed. This form is what you will turn into the middle school.
Please have the forms completed.

Please click on the either Beck, Rosa or Carusi Middle Schools for their sports physical information page to complete other required forms

 

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Beck Middle School 

Rosa Logo
Rosa Middle School

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Carusi Middle School