Karen Kasyjanski, RN
(732) 531-5630 Ext 7010
FAX (732) 531-6561
ALL PAPERWORK MUST BE TURNED IN TO THE SCHOOL NURSE BY THE FOLLOWING DATES:
MAY 19, 2017: EXAM BY SCHOOL DOCTOR
SEPTEMBER 05, 2017: EXAM BY YOUR PRIVATE PHYSICIAN
Fall Sports Candidates:
We are currently organizing for our Fall sports season. TOIS offers soccer, field hockey and cross country. All students in 6th, 7th and 8th grades are eligible to try out.
All physical forms are available in the TOIS nurses’ office or may be downloaded below: Click on and print: Athletic Physical Form and/or Interim Health History Update (see forms below) Your child will only need the Interim Form if they have had a physical exam conducted within the past 365 days and it is on file with the school nurses’ office. Please contact the nurses’ office if you have any questions at (732) 531-5630 extension 7010.
The physical exams will be held at
Ocean Township Intermediate School Nurses’ Office,
at no cost to students, with our school physician on the following days:
Girls: Tuesday, May 23, 2017 at 2:30 pm
Boys: Tuesday, May 30, 2017 at 2:30 pm
If you answer “yes” to any questions on the physical forms, an explanation is required. All papers will be returned to the student if any questions are unanswered or incomplete.
You may also use your own physician, but the medical exam must be within 365 days prior to the first practice session. If you choose to use your own physician, our forms must be completed by your physician. These forms then have to be approved and signed by our school physician before participation may begin. Also, please keep a copy for your records.
* Please feel free to download and print out forms provided for you below as needed*
Athletic Physical Form
INTERIM Health History Update - OTIS
School Health Mandates
Asthma Treatment Plan - French Creole
Asthma Treatment Plan - Spanish (scroll to 2nd page for Spanish)
Parent Fact Sheet on Concussions
Click "More' below for parent information on concussions affecting children and teenagers.
New Jersey Family Care Insurance Information - English
New Jersey Family Care Insurance Information - Spanish
Vaccine Information for Preteens
6th Grade Vaccination Requirements and Form for Doctor
Nursing Services Plan 15 - 16
Medication Administration Consent Form
Physician's Standing Orders TOIS 16-17