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Long Branch Public Schools

Together We Can, Juntos Nós Podemos, Juntos Podemos

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      Please click on the green links below to access the forms. Haga clic en los enlaces verdes a continuación para acceder al formulario.  

       

      Allergy Action Plan - This form is to be completed when a student has a life threatening allergy that requires emergency medication (Epinephrine)

       

      Asthma Action Plan - This form is to be completed when a student has a diagnosis of asthma that requires medication. 

      Plan de Accion Para el Asma- Este formulario debe usarse cuando un estudiante tiene asma y requiere medicacion.

       Seizure Action Plans | Epilepsy Foundation-  This form is to be completed when a student has a seizure disorder.   

      Plan DE Accion Para Crisis Epilepticas;   Este formulario debe usarse cuando un estudiante tiene un trastorno convulsivo. 

       10th grade Physical Exam form - English

      10th grade Physical Exam Form- Spanish

       

      4th grade Physical Exam Form Information & Health form (click on your school name)

      GLCatrambone      Gregory     AAAnastasia

      Universal Health Record (Physical form for PreK and Kindergarten)

      Permission to Give Medication in School - This form is to be completed when a student is required to receive medication at school.  It must be filled out by the parent and the doctor/healthcare provider. 

      Sports Physical Form- English This form is to be completed by student athletes and their doctor. 

      Sports Physical Form- Spanish - Imprima tambien el formulario in ingles para llevarlo a su medico

      Sports Health Update Form

       

       Consent for Tylenol- English (High School Students ONLY)

       Consent for Tylenol /Consentimiento para Tylenol - Spanish (Solo estudiantes de secundaria)

       

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    Long Branch, NJ 07740

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    STATEMENT OF NON-DISCRIMINATION PRACTICES: The Board of Education shall provide equal and bias-free access for all students to all school facilities, courses, programs and services, regardless of race, creed, color, national origin, ancestry, age, marital status, affectional or sexual orientation, gender, gender identity or expression, religion, disability or socioeconomic status. No qualified handicapped or disabled person shall, on the basis of handicap or disability, be excluded from participation in, be denied the benefits of, or be subjected to discrimination in activity or vocational opportunities sponsored by the Board of Education. The following persons have been designated to handle inquires/complaints regarding non-discrimination policies: Affirmative Action Officer: Jena Valdiviezo Ed.D., 732-571-2868, Ext. 40035 Title IX Coordinator: Jena Valdiviezo Ed.D., 732-571-2868, Ext. 40035 Section 504 Compliance Officer: JanetLynn Dudick, Ph.D., 732-571-2868, Ext. 40610 |Spanish Version|Portuguese Version|
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