Annual Forms: Asthma & Food Allergies

So that I may best care for your children while they are in attendance, please inform me of any medical or health concerns that they may have, especially regarding Asthma and Life-Threatening Allergies. Middle school students are encouraged to 'self-carry' their inhalers--however, if they do not have it with them during school hours, I currently do not have medication to help them if they need it. Please consider supplying a back-up MDI to the Health Office should you feel it is necessary.

NJ Administrative Code states: A pupil is only permitted to self-administer medication for asthma or other potentially life-threatening illnesses. Every pupil that is authorized to use self-administered asthma medication MUST have their MDI accessible during the school day, AND have an Asthma Treatment Plan prepared by the pupil’s LMP which shall identify, at a minimum, asthma triggers, the treatment plan and other such elements as required by the Department of Education [N.J.A.C. 6A:16-2.1(a);18A:40-12.8]. Students with medication orders for anaphylaxis MUST have an Allergy Action Plan completed by their LMP AND epinephrine auto-injectors submitted to the Health Office.

I appreciate your cooperation and partnership in keeping your children healthy for the school year.

Food Allergy Forms and Documentation


Annual Forms: Medications in School

All medicine taken during the school day, including Prescription and Over-the-Counter, must be accompanied by an 'Authorization for [OTC or Prescription] Medication' form signed by both parent and physician.

  • The Mendham Borough Board of Education forbids any student from carrying any medication (OTC or prescription) without the knowledge and consent of the administration and school nurse. Medication shall include all medicines prescribed by a physician, including emergency medications, i.e., inhalers and Epi-pens, and all non-prescription OTC medication.
  • For the students' convenience, we will stock regular-strength and children's strength [liquid] Tylenol (acetaminophen), Advil (ibuprofen) and children's [liquid] Benadryl (diphenhydramine) OTC medications. Any other medication shall be brought to school in the original, sealed container, and labeled with the student's name. A physician's order MUST be submitted to the Health Office. All medication is to be taken home by the parent when it is no longer needed, or at the end of the school year.
  • Prescription medication MUST be brought to school by the parent, unless other arrangements have been made with the nurse. It must be in the original prescription container, and labeled with the name of the student, medication, dosage, and name of the physician.
  • Herbal, homeopathic or other medications that are not FDA approved may not be given during school hours.
Medication Forms and Documentation

6th Grade: Tdap & Meningococcal Vaccines Form

Parents of incoming 6th Grade students are reminded to have your children immunized for state mandated Tdap and Meningococcal vaccines before the start of 2019-2020 school year.

  • N.J.A.C. 8:57-4.10 Every child born on or after January 1, 1997, and entering or attending Grade Six...on or after September 1, 2008, shall have received one dose of Tdap (Tetanus, diphtheria, acellular pertussis) given no earlier than the 10th birthday.
  • N.J.A.C. 8:57-4.20 Every child born on or after January 1, 1997, and entering or attending Grade Six...on or after September 1, 2008, shall have received one dose of a meningococcal-containing vaccine, such as the medically preferred meningococcal conjugate vaccine. *Please note: This applies to students when they turn 11 years of age and attending Grade Six.

If you have any questions, please call or email me.

Tdap and Meningococcal Vaccine Forms and Documentation