Complex Medical Conditions, including Diabetes:

If your child has any known medical conditions or diagnosis (besides Asthma, Food Allergies, or a history of Seizures) please alert our office. If your child requires an ACTION PLAN for this known condition or diagnosis, complete the required form below. *Any medications must be stored in our office and labeled with your child’s name in their original prescription labeled container.

Please either drop off, email, or fax your required documentation to us prior to your child’s first day.

silton.vax@gmail.com / Fax: 732-223-0288

For Students with Type 1 or 2 Diabetes:

Please provide us with your child’s DIABETES MANAGEMENT PLAN and complete the above Complex Medical Form.