The Community School Inc. -- A private, specialized program designed to better educate the Learning Disabled.

COMMUNITY HIGH SCHOOL
HEALTH INFOMATION 2007 - 2008

Please click on the below link for the form you require.

1)	Health Appraisal Questionnaire	REQUIRED
2)	State of New Jersey Health History and Appraisal form	REQUIRED

3)	Note to Parents summarizing the required forms for students who take prescription medications at school.

4)	Medication guidelines which are used at Community High School

5)	Authorization to Administer Prescription Medication in School. This is necessary if medication is to be administered during school hours. These forms must be completed by a licensed physician prescribing the medications and requires parent/guardian signature.

6)	Authorization to Administer Prescription Medication Usually Taken at Home. This is necessary when, in rare circumstances, students forget to take a dose of medication usually taken at home or if a snowstorm, unforeseen event, or stoppage of transportation forces students to remain at school beyond school hours. This form must be completed by a licensed physician prescribing the medication and signed by a parent/guardian.

7)	Authorization for Self-Administration or Assisted Administration of Over-the-Counter Medications. This form is to be completed by you and a licensed physician if you want your son/daughter to self-administer over-the-counter medication. Tylenol and Halls throat drops will be provided by the school. A specific form has been provided for Tylenol and Halls, and a generic form is provided as well for any other over-the-counter medications that your doctor may prescribe.

8)	Authorization for Self-Administration or Assisted Administration of Asthma Medication. These forms must be completed by a licensed physician and parent if a student must carry an asthma inhaler.

9)	Authorization for Self-Administration or Assisted Administration of Epi-Pen Medication. These forms must be completed by a licensed physician and parent if a student must carry an epi-pen.

10)	New Jersey Department of Education Athletic Pre-Participation Physical Exam Form, Part B. This form is to be completed by the examining physician if your son or daughter wishes to participate in interscholastic athletics at Community High School. All students who wish to try out for a school athletic team must have had a physical exam completed within 365 days prior to the first practice session.

For New Jersey students, in accordance with N.J.S.A. 18A:40-4, a parent may request that the health appraisal be performed, at no cost to the parent, by the “medical inspector” of the local sending district or, “in lieu thereof… examination of a physician licensed to practice medicine and surgery within the State.” For New York students, as per New York State Education Law (Section 903-905) which provides for a physical appraisal (examination) to be performed at no cost to the parent by the local sending Committee on Special Education (CSE), a copy of the last health examination which was performed by the Committee on Special Education must be sent to the Community School, if it has not already been sent, and the top portion of the New Jersey Health History and Appraisal form, the immunization record, must be completed and returned to the school, or a copy of a similar immunization form sent.