BARNABAS HEALTH IS OFFERING PLAY IT SAFE-FOR PARENTS -
AN INFORMATIONAL SESSION ON: 

CONCUSSION AND CARDIAC SCREENINGS FOR STUDENT ATHLETES
ON THURSDAY, FEBRUARY 9, 2012 FROM 6:30 -8:30 PM
AT THE BARNABAS HEALTH AMBULATORY CARE CENTER,
200 SOUTH ORANGE AVENUE, LIVINGSTON, NJ 
CALL 1-888-724-7123 promt 4 or email TeamLINK@barnabashealth.org



BARNABAS HEALTH IS OFFERING FREE CONCUSSION AND CARDIAC SCREENINGS ON SATURDAY, MARCH 3, 2012.

IF YOU ARE INTERESTED IN HAVING YOUR CHILD SCREENED
PLEASE FOLLOW THE LINK BELOW.
REGISTRATION IS REQUIRED AND SPACE IS LIMITED.

http://www.saintbarnabasfoundation.org/download/playitsafescreening.pdf 

All students wishing to participate in athletics at Memorial Junior School must have a physical examination within 365 days (1 year) of the tryout date on file in the health office, and submit the additional necessary paperwork by the day tryouts begin in order to be eligible.

 

In an attempt to facilitate this process, determine below which category your child falls into and complete the appropriate paperwork. All forms are available in the health office or can be downloaded by clicking on the links below.

 

FIRST SPORT OF SCHOOL YEAR 

 

1. Completed Annual Pre-Participation Physical Evaluation Forms are available here 

-         Part A: Health History Questionnaire - to be completed by parent/guardian and given to physician at time of physical examination

-         Part B: Physical Evaluation Form – to be completed by physician. 

 

2. Permission Form (required for each sport) is available here.

-         To be completed and signed by the student and parent/guardian within 60 days of the start of each  sport tryout.

 

3. Athletic Release Form (required annually)is available here.

-         To be completed and signed by parent/guardian 

 

 

SECOND/THIRD SPORT OF SCHOOL YEAR 
(ATHLETIC PACKET – UPDATE)

 

1.      Part C: Health History Update – to be completed and signed by parent/guardian  (Click on ATHLETIC PACKET line above)

 

2.      Permission Form (required for each sport)

-         To be completed and signed by the student and parent/guardian within 60 days of the start of each sport tryout.

 

Reminder – All forms must be submitted directly to the health office and approved by the School Doctor before an athlete can tryout.  To ensure that your child can tryout on time, please adhere to the deadlines established before the start of each season.

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Please see the links below for
 1) Sports Participation Forms

 2) Asthma Care Plans & Self Administration Forms

 3) Epipen Administration Forms

 4) Medication to be Administered in School Forms

All medications, including over-the-counter, must be kept in the nurse's office to be administered only by the nurse.  A doctor's note with parental permission must be provided in order to administer medication (appropriate forms are available in the health office or can be downloaded by clicking on the links below). 

Student  self-administration of medication for potentially life-threatening illnesses, such as asthma or anaphylaxic reaction, is permitted and must also be arranged with the school nurse.

NO CHILD IS PERMITTED TO CARRY MEDICATIONS (Exceptions include self-administration of epi-pens and inhalers).

Please see forms below.

For all Students Requiring an Epi-Pen

For all Students requiring Asthma Medication

For all medication that needs to be given at school

Self Administration for Students who use Inhalers