New jersey public health 2025

1. Click ‘Get Form’ to open the New Jersey Public Health form in the editor.
2. Begin by entering the school name and grade at the top of the form. This sets the context for your submission.
3. Fill in the pupil’s name, including last, first, and middle names, along with their sex, birth date, and place of birth.
4. Provide your address and telephone number for contact purposes.
5. List parental information by entering both father’s and mother’s names. Indicate how many siblings the child has and their order in the family.
6. Answer questions regarding living arrangements, recent physical examinations, and any medical conditions by checking appropriate boxes and providing details as needed.
7. Complete sections on dietary restrictions, medications, hospitalizations, pregnancy-related issues, developmental milestones, family health history, home environment concerns, and any additional health information that may be relevant.
8. Finally, ensure that both a parent/guardian signature and a nurse's signature are included before submitting the form.

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