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    • Albertino, Jere'
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  • Calendar
  • Holman Elementary School
  • Health Paperwork

DeMatteo, Amanda (Nurse)

  • Welcome
  • Meet the Nurse
  • Health Policies
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  • Self-Administration Form

    Self-Administration Form

    Please fill out and sign the self-administration form if the student is able to self administer Epi-pen/Auvi-Q in an emergency situation. Please have the doctor fill out Physician for Self Administration form. 

    SelfAdministrationForm.pdf 74.13 KB (Last Modified on May 13, 2016)
    Comments (-1)
  • Medication Administration Form

    Medication Administration Form

    If you child needs any medications at school, please have the doctor fill out the form provided below. This includes over the counter medications, the school nurse is unable to administer any medications without the form and proper medications provided. The parent must provide the medication for the school nurse. Students are unable to carry any medications in their back packs at school, medications must be held in the nursing office, unless otherwise specified.

    Medication Administration.pdf 88.18 KB (Last Modified on May 13, 2016)
    Comments (-1)
  • Emergency Health Care Plan

    Emergency Health Care Plan

    Individual Emergency Health Plan.pdf 119.47 KB (Last Modified on May 13, 2016)
    Comments (-1)
  • Allergy Treatment Plan

    Allergy Treatment Plan

    If your child has allergies, please have the doctor fill out the Allergy Treatment Form as well as the Individual Emergency Health Care Plan. Parent must bring in proper medication as well as completed forms. For your childs saftey a delegate will be assigned to your child. In the event of an emergency where the nurse is not available the delegate will be able to administer Epipen/Auvi-Q. If you have any questions or concerns please call me!

    Allergy Information Form.pdf 99.93 KB (Last Modified on May 13, 2016)
    Comments (-1)
  • Asthma Action Plan

    Asthma Action Plan

    Asthma Action Plan.pdf 187.46 KB (Last Modified on May 13, 2016)
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Lucy N. Holman Elementary School

125 Manhattan Street, Jackson, NJ 08527

732-833-4620

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