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Karen Kasyjanski, BSN, RN, CSN
OTIS School Nurse

(732) 531-5630 Ext 7010   FAX (732) 531-6561
kkasyjanski@oceanschools.org


                   
Spring Sports for 6th, 7th & 8th Grades
                                   Track, Baseball and Softball


PAPERWORK DEADLINES:

ALL PAPERWORK MUST BE TURNED IN TO THE SCHOOL NURSE FOR REVIEW BY THE FOLLOWING DATES:

February 5, 2018:  EXAM BY SCHOOL DOCTOR

February 13, 2018:  EXAM BY YOUR PRIVATE PHYSICIAN


SPORTS 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, February 13, 2018 at 2:30 pm

                    Boys:  Tuesday, February 20, 2018 at 2:30 pm

****All students must check with the nurse to verify the date of their last physical exam.****


Parents must answer questions 1-54 on page 1 of the History form. If you answer “yes” to any questions on the physical forms, an explanation is required with the date or age of illness or injury.
 ***Incomplete and unanswered paperwork will be returned***


If your child's physician does the physical exam, our forms must be completed by your child's physician and the medical exam must be within 365 days prior to the first day of practice. These forms must be submitted on the above indicated dates, then approved and signed by our school physician before sports participation may begin.
           
****Also, please keep a copy for your records.****


All physical forms are available at nurse’s office or may be downloaded at the TOIS School Nurse's Website.  Click on and print:  Athletic Physical Form and/or Health History Update Questionnaire   (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 nurse’s office if you have any questions at (732) 531-5630 extension 7010.


 

* Please feel free to download and print out forms provided for you below as needed*
Athletic Physical Form
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Health History Update Questionnaire - OTIS
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School Health Mandates
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Asthma Treatment Plan - French Creole
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Asthma Treatment Plan - Spanish (scroll to 2nd page for Spanish)
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Parent Fact Sheet on Concussions
Click "More' below for parent information on concussions affecting children and teenagers.
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New Jersey Family Care Insurance Information - English
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New Jersey Family Care Insurance Information - Spanish
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Vaccine Information for Preteens
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6th Grade Vaccination Requirements and Form for Doctor
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Nursing Services Plan 15 - 16
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HPV Vaccine

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Medication Administration Consent Form
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Physician's Standing Orders TOIS 2017-2018
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