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  • Perth Amboy Magnet School
  • Health Office Forms

School Nurse

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  • Mrs. Cretella
  • Request Form for Immunization Records
  • Allergy Action Plan

    This is used for children with allergies to foods, medications, insects etc that require prompt action and potentially the use of an automated epinephrine injector. 

    Comments (-1)
  • Asthma Treatment Plan

    This form MUST be completed for any student with asthma that requires the use of an inhaler and/or nebulizer. Students are not permitted to carry inhalers without this paperwork. 

    Comments (-1)
  • Epinephrine Permission Form

    Comments (-1)
  • Medication Needed During School Hours Form

    This form is REQUIRED to be filled out by the child's physician if medication is needed to be given during school hours.  This must also be signed by the parent/guardian.  Medications can not be given out this form.

    Comments (-1)
  • Personal Doctor Physical Form

    This can be used for any student needing a physical that is NOT RELATED to SPORTS.

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Perth Amboy Magnet School

457 High Street, Perth Amboy, NJ 08861

732-376-6300 732-376-6391

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The Middlesex County Magnet School District is an equal opportunity and affirmative action institution and complies with Title IX, ADA and Civil Rights obligations.
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