Health Office

Instructor: Maureen Morgan RN MS BSN NJ-CSN & Suzanne Donovan RN BSN  

Health Office Mission Statement and Objectives
HEALTH SERVICES PROGRAM MISSION STATEMENT:  "You cannot educate a child who is not healthy, and you cannot keep a child healthy who is not educated."  This statement by the former US Surgeon General Jocelyn Elders, MD, clearly illustrates the very essence of the school nurse's mission.  Wellness does not just matter - it is critical.  It is critical not just for the student, but for teachers and staff as well.  The school health program emphasizes the interaction of health and wellness with education and learning.  Our goal is to enable academic, social, physical, and emotional success by stressing prevention of disease and promotion of health and safety through individual counseling, education, and service.

OBJECTIVES OF A COORDINATED SCHOOL HEALTH PROGRAM:  Health Services- Serves as the coordinator of the health services program, provides nursing care, and advocates for health rights.  Health Education- Provides appropriate health information that promotes informed health care decisions, promotes health, prevents disease, and enhances school performance.  Environment- Identifies health and safety concerns in the school community and promotes a safe and nurturing school environment.  Nutrition- Supports school food service programs and promotes the benefits of healthy eating patterns.  Physical Education/Activity- Promotes healthy activities, physical education, and sports policies/practices that promote safety and good sportsmanship.  Counseling/Mental Health- Provides health counseling, assesses mental health needs, provides interventions, refers students to appropriate school staff or community agencies, and provides follow-up once treatment is prescribed.  Parent/Community Involvement- Promotes community participation in assuring a healthy school and serves a school liaison to a health advisory committee.  Staff Wellness- Provides health education and counseling, promotes healthy activities and environment for school staff.

Important Health Updates


The new Athletic Pre-participation Physical Evaluation Forms are lengthy, complicated and require a thorough review by the school nurse and the school doctor, therefore it is no longer acceptable to mail forms to the high school or put them in the nurses mailbox.
All athletic forms MUST be submitted in person to the school nurse during the designated collection days this summer or prior to the end of the 2017-2018 school year.

Wednesday July 18th and Thursday July 19th from 8:00 AM – 12:00 PM
Wednesday July 25th and Thursday July 26th from 8:00 AM – 12:00 PM
Monday August 6th and Tuesday August 7th from 8:00 AM - 12:00 PM
Monday August 13th from 8:00 AM - 12:00 PM

The Pre-participation Physical Evaluation Packet includes the following forms:
  1. History form: this form is completed by a parent/guardian prior to the physical exam and should be reviewed by the physician, this form MUST include the date of the exam, the sport, and any questions that are answered yes MUST have an explanation. Any cardiac history, EKG's, murmurs, or current cardiac conditions WILL require a cardiac clearance note from a Cardiologist prior to participation. The history  form should be signed by both the student athlete and the parent.
  2. The Athlete with Special Needs Supplemental History form:This form is only necessary if the student athlete has an established disability, and should be completed and signed by a parent.
  3. Physical Evaluation Form: This form is completed and signed by the examining physician, APN, or PA.
  4. Clearance Form: This form must be completed by the examining physician, APN or PA. This form will require an office stamp and two signatures by the physician. One signature is clearing the student to participate and the other signature indicates that the physician has completed the cardiac module. Only physicians that have completed the Cardiac Module can perform physical examinations and sign the forms as per the NJDOE.
Please be aware that any athletic forms that are NOT submitted during the collection days will not be processed and the student will not be cleared for participation. Forms mailed in or dropped off at the high school WILL be returned!
Incomplete forms will be given directly back to you for completion at the time of submission.
Your cooperation is necessary in order to make this process as smooth as possible so our student athletes are medically cleared and ready for the first day of practice! 
Driver Ed. Eye Exams
Drivers education eye examinations can be scheduled with the health office between 9:00 AM and 2:00 PM, students MUST utilize their own free time either during lunch or at a free period for these exams. The exams are done at the discretion of the school nurse and may need to be rescheduled if there is an emergency or the office is busy. All other questions regarding obtaining a drivers permit should be directed to Mr. VanYperen.
Athletic Physical Procedure

Prior to participation on a school-sponsored interscholastic or intramural athletic team or squad, each student-athlete in grades six through 12 must present a completed pre-participation physical evaluation (PPE) form to the designated school staff member. Important information regarding the PPE is provided below, and you should feel free to share with your child’s medical home health care provider.
  1. The PPE may ONLY be completed by a licensed physician, advanced practice nurse (APN) or physician assistant (PA) that has completed the Student-Athlete Cardiac Assessment professional development module.It is recommended that you verify that your medical provider has completed this module before scheduling an appointment for a PPE.
  2. The required PPE must be conducted within 365 days prior to the first official practice in an athletic season.The PPE form is available in English and Spanish at
  1. The parent/guardian must complete the History Form (page one), and insert the date of the required physical examination at the top of the page.
  1. The parent/guardian must complete The Athlete with Special Needs: Supplemental History Form(page two), if applicable, for a student with a disability that limits major life activities, and insert the date of the required physical examination on the top of the page. 
  2. The licensed physician, APN or PA who performs the physical examination must complete the remaining two pages of the PPE, and insert the date of the examination on the Physical Examination Form (page three) and Clearance Form (page four).
  3. The school district must provide written notification to the parent/guardian, signed by the school physician, indicating approval of the student’s participation in a school-sponsored interscholastic or intramural athletic team or squad based upon review of the medical report, or must provide the reason(s) for the disapproval of the student’s participation.
  1. For student-athletes that had a medical examination completed more than 90 days prior to the first official practice in an athletic season, the Health History Update Questionnaire (HHQ) form must be completed, and signed by the student’s parent/guardian.The HHQ must be reviewed by the school nurse and, if applicable, the school’s athletic trainer.The HHQ is available at
For more information, please review the Frequently Asked Questions which are available at You may also direct questions to RIDGEWOOD HIGH SCHOOL HEALTH SERVICES 201-670-2800 Ext. 20520

All athletic Physical forms MUST be submitted to the Health Services Office IN PERSON. DO NOT email, mail, or place them in the School Nurses mailbox they WILL be returned. Students are cleared after a thorough review of the Athletic physical by the health services staff. Thank you for your cooperation.

Each year, students that do NOT submit a Pre-participation Physical Evaluation (Athletic Physical) are required by State code N.J.A.C. 6A: 16-2.2 to be screened annually for height, weight, and blood pressure. Visual and hearing acuity screening are usually conducted in 10th grade. Screening for scoliosis shall be conducted biennially for students between the ages of 10 and 18 pursuant to State code N.J.S.A. 18A: 4.0-4-3.
If you prefer that your child not be screened, please submit that request in writing and return it to the health office (an email is acceptable). A vital part of our school health services requires up-to-date records on each student. Please keep the Health Services office informed of any new immunizations, medical treatments, or medications you child may receive so the health records remain current.
Resources for students with no Medical Home/Insurance
Valley Hospital Community Health (Immunizations and basic physical exam forms)
Department of Community Health Immunization Clinic
4th Wednesday of each month at Church of the Good Shepard (Rock Road and Ackerman Avenue)
233 South Highwood Avenue
Glen Rock, NJ 07452

Valley Hospital's Community Care (Comprehensive health care-must follow intake financial protocol)
Contact: Betty Buechnerhee-Coordinator of Community Care Program
1114 Goffle Road
Hawthorne, NJ 07506

Health Coverage
NJ Family Care
P.O. Box 4818
Trenton, NJ 08650-8955

The NJ Department of Education has issued an Athletic Pre-Participation Physical Evaluation Packet that all athletes must submit prior to participation in an inter-scholastic sport.. The physical is valid for 365 days from the date the exam was was performed. This athletic packet and the forms within have been developed by the NJ Department of Education in conjunction with the American Academy of Family Physicians (AAFP), American Academy of Pediatrics (AAP), American College of Sports Medicine, American Medical Society for Sports Medicine, American Orthopedic Society for Sports Medicine, and the American Osteopathic Academy of Sports Medicine. This athletic packet MUST be used for ALL student physical examinations prior to participation in school-sponsored interscholastic and intramural sports.
>Incomplete forms will not be accepted!!
  • The date of the physical MUST be on the form.
  • The sport needs to be indicated on the form.
The Doctor's stamp MUST be on the form.
The athletic packet includes the following required forms:
Preparticipation Physical Evaluation (PPE) which includes:
1. History Form (filled out & signed by a parent/guardian)
2. The Athlete With Special Needs: Supplemental History Form ( If necessary: be completed & signed by parent )
3. Physical Examination Form (completed &signed by physician)
4. Clearance Form (completed & signed by physician in two places)

Athletic physicals must be submitted IN PERSON and approved by the Health Office.
  • Participation in athletics is based on the results of your personal physician/clinic medical examination and report, the school physician's clearance is based on that examination. This complies with the requirements of NJAC 6A:16-2.2
  • All Athletic forms are available for download at the bottom of this page.
  • Students that plan on participating in another sport/season and have already submitted an Athletic Packetfor the current year and this PPE has not expired need only submit the state required Health Update Questionnaire prior to try-outs or practices, the update form must be completed and signed by the parent/guardian. If you are unsure what forms are required for your child please have the student check with the school nurse.
    Thank you for your cooperation

Sudden Cardiac Death in Young Athletes
The incidence of sudden cardiac death (SCD) among student athletes, often due to undetected heart conditions, has caused great concern throughout New Jersey. In response to this serious problem and in an effort to increase awareness and emphasize prevention of possible sudden death of young athletes, the Legislature passed and the Governor signed P.L. 2009, Chapter 260. The law established the New Jersey Student Athlete Cardiac Screening Task Force.
The Task Force has completed the portion of it's mandate to develop an informational brochure about sudden cardiac death for distribution to all districts in the State. In accordance with N.J.S.A. 18A:40-41 school districts are required to distribute this information to the parents or guardians of students participating in school sports. Attached at the bottom of this page in the file section is an electronic version of the brochure. All parents of children participating in any sport are required to read the attached information and complete the Sudden Cardiac Death Pamphlet. This is a required part of the athletic Preparticipation Physical Evaluation Packet. Also, the brochure is available on the Department's website under Resources

Medication In School
The following is the procedure for the administration of medications by the school nurse: All medications require a prescription and parental consent. There are medication administration forms available in the health office. These are to be completed by a physician and signed by parent/guardian. Any prescription medication must be in the original pharmacy bottle with the student’s name and instructions for dispensing on the label. There is an area on the form to designate self-administration. This applies to epi-pens and asthma inhalers. All other medication is to be administered in the health office. This procedure applies to students who require medication during the school day. Early morning and after school medications are not administered in school. Over the counter medications, Acetaminophen, Advil and Tums, have been approved by the Ridgewood Public Schools Health and Wellness Advisory Committee and are available in the health office. Only the School Nurse may administer these medications. Parental Consent must be obtained before any non-prescription medication can be given to your child. The Health office does not provide cough drops.

Inhaler or Epi-pen
If your son/daughter requires an epi-pen or an inhaler in school, please be sure to send it in to the health office. Also remember to enclose the necessary forms. It is very important that I have these items in the event of an emergency.

Information for parents on MRSA (Methicillin-resistant Staphylococcus aureus)
In the last several years, our community has experienced an increase in the number of staph infections that are resistant to the usual antibiotics used to treat skin and soft tissue infections. These infections are caused by MRSA, or antibiotic resistant staph. MRSA traditionally has been a germ associated with hospitals but now is appearing in the community and is often called "community-acquired MRSA". Community- acquired MRSA appears to be particularly good at causing skin infections, especially through contact among family members, in daycare centers, among sports teams, and in prisons or jails. Of note, outbreaks of MRSA have NOT been widely reported among schoolchildren with primarily classroom contact.

Human Papilloma Virus Vaccine
Listed below is information for parents with questions and answers about the HPV vaccine provided by the New Jersey Department of Health and Senior Services. In accordance with N.J.S.A. 18A:40-42 public schools are required to distribute this fact sheet to parents and guardians of students in grades seven through twelve. The Advisory Council on Immunization Practices (ACIP) along with the Centers for Disease Control and Prevention (CDC) recommend HPV vaccination for 11-14 year-old girls and boys.

Physical Education Excuses
Students who wish to be excused from participating in Physical Education due to health reasons must report to their physical education teacher with a signed note from their parent. A contact number must be on the note. Physical Education classes that have been excused with a parent note must be made up on the student's own time. Please arrange with the PE teacher. Medical excuses from a physician to excuse a student from Physical Education because of an injury or illness must be submitted to the Health Office. If a student is unable to participate in Physical Education for more than 3 weeks because of a documented medical condition an alternate program may be required to accommodate the injury or illness according to NJ Physical Education Mandates. Students with a chronic condition that submit a medical note will be required to have the treating physician submit an Adaptive Physical Education form so the state required physical education component is met and a PE program can be adapted to his/her particular condition.