Princeton High School Nurse's Office Room 108                                                                                          School Nurses Margarida Cruz RN Lisa Goldsmith RN Contact Information Phone:  609-806-4293 Fax:       609-806-4295 E-mail:  margarida_cruz@monet.prs.k12.nj.us lisa_goldsmith@monet.prs.k12.nj.us          Forms and Letters When to Use Forms for all students Annual Pre-Participation Physical Exam Form Letter to Health Care Providers (a letter to your physician explaining that the above form is the ONLY form allowed for athletic participation). Request for a School Physical  (should you not have a private physician) All students entering grades 9 and 11 should have a physical within a year of the first day of school.  Complete Parts A & B All students participating in a sport must have a current physical exam (valid for 365 days). Medical Form for Trips (H-18) Required for all students on a school trip which lasts longer than 1 day. Permission for Acetaminophen/ Ibuprofen and Emergency Treatment Suggested for all students Consent for Administration of Medication from Physician (H-16) Required for all students who require administration of medication during the school day Scoliosis Screening Notification Return only if you do not wish your student to be screened for scoliosis Immunizations Required of all students Forms for students with allergies and/or asthma Allergy Action Plan Required for all students with allergies requiring epipens Asthma Action Plan Required for all students with asthma Consent for Self-Medication for Allergic Reaction(H-17) Required for all students who carry an epipen Consent for Self-Medication for Inhaler(H-10) Required for all students who carry an inhaler Forms for student athletes Athletic Code of Conduct Policy 9162 Please read our Board Policy: Student Athlete Code of Conduct Physical Forms Annual Pre-Participation Physical Exam Form Letter to Health Care Providers (a letter to your physician explaining that the above form is the ONLY form allowed for athletic participation). Request for a School Physical  (should you not have a private physician) All students participating in a sport must have a current physical exam (within 365 days).  This complete form must be returned completed and and dated within 60 days of the start of the sports season. Athletic Info (H-50green) All students participating in a sport must complete and date this form within 60 days of starting EACH sports season. PRS-Health History Update All students participating in subsequent  sport seasons, must complete and date this form within 60 days of starting a new sport. (Must have previously submitted a current physical (Part A and B) Other Forms for Sports Sports-Related Concussion and Head Injury Fact Sheet and Parent/Guardian Acknowledgement Form Information for Coaches, Teachers and School Professionals Concussion Fact Sheet for Educators All students participating in a sport must complete and return this form annually. Steroids Memo regarding testing List of Banned Drug Classes Consent form Consent form to be tested for steroids must be signed and returned annually.