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Health Office Info and Updates



School nurses support student success by providing health care through assessment, intervention, and follow-up for all children within the school setting. The school nurse addresses the physical, mental, emotional, and social health needs of students and supports their achievement in the learning process.

NJDOE School Health Service Information

Physical Exam Requirements

Each school district shall require parents to provide examination documentation of each student within 30 days upon enrolling into school.
When a student is transferring to another school, each school district shall ensure that student documentation of entry examination is forwarded to the transfer school district pursuant to N.J.A.C. 6A:16-2.4(d).
Students transferring into a New Jersey school from out-of-State or out-of-country may be allowed a 30-day period in order to obtain entry information and documentation.
Each school district shall notify parents of the importance of obtaining subsequent medical examinations of the student at least once during each developmental stage, at early childhood (pre-school through grade three), pre-adolescence (grade four through six) and adolescence (grades seven through 12)

Vaccine Requirements

New Jersey school immunization rules, Immunization of Pupils in Schools (N.J.A.C. 8:57-4) require students to receive a series of immunizations prior to attendance at school. In addition, schools are required to enforce requirements, maintain records, and submit annual reports to the state and their respective local health department. Please review the guidance and tools for carrying out these requirements.

New Jersey Department of Health

Preschool Students: Preschool Health Registration Form

Preschool Vaccine RequirementsPreschool Vaccine Requirements

K-12 Students: Student Health Registration Form

K - 12 Immunization RequirementsK - 12 Immunization Requirements

Grade 6 Requirements: The New Jersey Department of Health (NJDOH) under Chapter 14 N.J.A.C. 8:57-4 mandates the following two vaccines.

  1. Tdap vaccine (Tetanus, Diphtheria, acellular Pertussis) Every child entering or attending Grade 6 shall have received one dose of Tdap given no earlier than the 10th birthday and five (5) years have elapsed from the last DTP/DTaP or Td dose.
  2. Meningococcal vaccine Every child entering or attending Grade 6 shall have received one dose of meningococcal vaccine (Menactra or Menveo).

A 10-year-old entering sixth grade will not be required to receive these vaccines until they turn 11 years of age. The NJDOH requires the dose be received within TWO WEEKS of the 11th birthday.
According to N.J.A.C. 8:57- 2, a principal, administrator or person in charge of a school shall not admit or retain any child whose parents have not submitted acceptable evidence of immunizations.

K - 12 Immunization Requirements

Tuberculosis Testing Requirements: Students born in a country not listed below and entering school in the U.S. for the first time, OR who attended school in a country not listed on the back must have TB testing.
THE FOLLOWING COUNTRIES HAVE A LOW INCIDENCE OF TB AND DO NOT REQUIRE TB TESTING:
American Samoa, Andorra Antigua and Barbuda, Australia, Austria, Barbados, Belgium, Bermuda, Canada, Cayman Islands, Cook Islands, Costa Rica, Cuba, Cyprus, Czech Republic, Denmark, Dominica, Finland, France, Germany, Greece, Greenland, Grenada, Iceland, Ireland, Israel, Italy, Jamaica, Jordan, Lebanon, Luxembourg, Malta, Monaco, Montserrat, Netherlands, Netherlands Antilles, New Zealand, North Ireland, Norway, Oman, Puerto Rico, Saint Kitts and Nevis, St. Lucia, St. Maarten (Dutch), San Marino, Slovakia, Slovenia, Spain, Sweden, Switzerland, Trinidad and Tobago, Turks and Caicos Islands, United Arab Emirates, United Kingdom of Great Britain and Northern Ireland, United States of America, United States Virgin Islands, West Bank and Gaza.

Tuberculosis Testing Requirements

Screening Requirements

The goals of school-based health assessment and screenings are the early identification of potential health issues that may impact a child’s educational program; referral to appropriate healthcare providers to address the health concern; the identification of students with special healthcare needs
that require services during the school day; and, the reduction of absenteeism due to health issues.

NJDOE School Health Service Information

Height, weight: annually for all children in grades PreK-12
Blood Pressure: annually in grades K-12
Hearing screening: annually in Grades PreK - Grade 3, and grades 7 and 11
Vision screening: in grades Pre-K, K, 2, 4, 6, 8, and 10
Scoliosis screening: in grades 5, 7, 9, and 11
If you do not want your child screened for scoliosis, please inform your school nurse in writing.

Health Office


Health Services:

1) Shots are required for D.P.T., Polio, Measles, Mumps, Rubella, Varicella, Hepatitis B, HIB and Meningitis.

2) All new entrants to North Brunswick Schools are required to have documented physical exam on file with the school nurse. The exam must have been done within the last year and submitted within 30 days of admission or the child will be excluded from school.

3) It is recommended by the NJ Department of Education, School Health Services Guidelines, that children receive a physical examination at least once during the developmental stages. Those developmental stages are as follows: Early childhood- grades PreK-3, Pre-Adolescent- grades 4-6, and Adolescent- grades 7-12. If you should have any questions, contact your school nurse.
According to NJAC 6A:14-3.3(g); 6A:16-2.1(f); 6A16-2.2(e)3;NJSA 18A:4-15; 18A:40-4.3-4.5 and A-113, children will receive health screenings that include height, weight, hearing, blood pressure, vision and scoliosis. A school physician, school nurse, physical education instructor or other properly trained school personnel shall conduct screenings.

  • Height, weight, blood pressure will be done annually for all children in grades PreK-12.
  • Hearing screening will be conducted in grades PreK-3, and grades 7 and 11.
  • Vision screening will be conducted in grades K, 2, 4, 6, 8, and 10.
  • Scoliosis screening will be conducted in grades 5, 7, 9, and 11.

(If you do not want your child screened for scoliosis, please inform your school nurse in writing)

4) If your child contracts a contagious disease or is taking prescribed drugs, please inform the school nurse.

5) In the event a child becomes ill at school, the nurse or the principal will contact the home and request the parent/guardian or person designated by the parent/guardian to come to the school to take the child home.


A child who is ill the evening before a school day or that school day morning must remain at home until they are symptom free with out the assistance of medication (Tylenol, Advil, Motrin etc.), for a full 24 hours.

The following conditions are examples that would require a child to remain home or be sent home from school:

  • Fever greater than 100 degrees
  • Red throat/Red throat with white patches
  • Severe cough that is disruptive to student and class
  • Any questionable skin rash (doctor’s note stating not contagious to return)
  • Vomiting/Diarrhea
  • Ear infections if complaining of pain

If your child is sent home from school ill (for example fever 100 degrees or greater, vomiting, etc), they must remain at home the following school day. They may not return to school until they are symptom free for a full 24 hours without the assistance of medication (Tylenol, Advil, Motrin). Please understand that this is to protect your child as well as his/her classmates from becoming ill.

Medication Reminder:

Any medications (Prescription or NON-PRESCRIPTION) sent to school for your child must be sent in the original bottle. ALSO, a written note from the Doctor and parent are required. Notes must include child’s name, medication name, dosage, time to be given, duration, and reason for medication. Medication’s sent to school that do not meet the above requirements WILL NOT be administered.

Any medications (Prescription or NON-PRESCRIPTION) sent to school for your child must be sent TO THE NURSES OFFICE BY THE PARENT in the original bottle

Medication Permission Form

Print out a copy of the Medication Permission Form to be completed by your child's physician and the parent/guardian.

Physical Examination Requirements

Print out a copy of the Child Universal Health Care Record to be completed by your child's physician.

All new students entering our schools must have a physical done by their private physician prior to entry. The physical must have been done within the last 365 days prior to entry. The nurse’s office must have this on file within 30 days from the date of registration If after 30 days the documentation is not provided the child will be excluded from school.

Immunization Requirement (for students entering the sixth grade in September):

All students entering the sixth grade in September are required to have received the following vaccinations:

  • Hepatitis B (3 doses)
  • Meninigitis
  • Tdap (after age 10)

Documentation is due to your elementary school nurse prior to the end of this school year. Your child will be excluded from school in September if the documentation is not in by the end of school.

Immunization Requirements for Kindergartners (entering September):

Those of you registering a child for Kindergarten in September your child must have the following immunizations prior to the first day of school.

Diphtheria, Pertussis, Tetanus (DPT) – At least four doses with one dose being given after the 4 th birthday, or any five appropriately spaced doses.

Polio (IPV or OPV) - At least three doses with one dose being given after the 4 th birthday, or any four appropriately spaced doses.

Measles, Mumps, Rubella (MMR) - Two doses, both must have been given after the 1 st birthday.

Hepatitis B - The three shot series of hepatitis B is required. Your child may enter only if the series has been started.

Varicella vaccine- must be given on or after the first birthday, or proof of immunity for children entering PreK or Kindergarten.


In the event a child becomes ill at school, the nurse or the principal will contact the home and request the parent/guardian or person designated by the parent/guardian to come to the school to take the child home.


Linwood & NBTHS Athletics

A. Sports Physical Exam Form
This form must be used by all students who are participating in a school sponsored athlectic activity. The sport physical exam is good for one year. Submit these forms to the nurse's office. No participation of any kind is permitted without medical clearance from the school doctor or the Nurse's Office.

B. Sports Medical Update Form
This form is only for high school and middle school athletes. The form must be completed and signed by a parent/guardian for any athlete whose physical is more than 90 days old from the start of their sport. The form must be completed no earlier than 90 days prior to the start of the sport. This form does not take the place of a sports physical, which must be dated within 365 days from the start of the sport.


Parents: You Can Make a Difference Right Now

As a parent, you can be influential today by starting a conversation with your child and safeguarding your teen from prescription drug abuse.

It can be convenient for your teenager to get his or her hands on prescription drugs right in your own home. Getting high can be as simple as going into a medicine cabinet and taking a few pills out of a bottle. Research shows that 65 percent of teens who have abused prescription pain relievers say they got them from friends and relatives.

Many teens incorrectly believe that taking a prescription drug to get high is less dangerous than taking illegal drugs. Adding to the danger is that teens often mix alcohol and other illegal drugs with prescription drugs.

Create a Safe Environment

Do not let your children have any access to prescription or over-the-counter (OTC) medications in your home.

  • Remove from the Medicine Cabinet - Remove all prescription and OTC drugs from your medicine cabinet. Keep them safe and secure in a place your teen does not know about.
  • Find a Safe Storage Location - Consider keeping the prescription and OTC medications in a locked cabinet or another safe location.
  • Educate Friends and Relatives - Remind relatives, grandparents and parents of your teenager's friends to remove medications from their cabinets and store them in a secure place.