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Please see our school policy for admission to our school, the following are required: most recent physical (within 365 days) and immunization record. 

Admission 5111:

Proof shall be furnished of immunization against communicable diseases at the time of enrollment.

The child shall have been examined by either the school or a private physician, and the results shall be furnished to the school on the form provided.




We are starting our annual screenings for all students for the school year. 5141.3 Health Examinations & Immunizations 


In accordance with federal law, the Protection of Student Rights Amendment (PPRA), parents/guardians shall be notified annually of the opportunity for the parent/guardian to opt the student out of any non-emergency, invasive physical examination, or screening.  Please send a letter requesting your child(s) to not have their annual screening to the school nurse (email [email protected]) and include the name of your children, the date, and your signature. 


Students are encouraged to see their family doctor/pediatrician for their yearly well-visit and the results are shared with the school nurse. Sports physicals can be done at the time of your yearly well visit.


Forms are available at:


Mandatory screening includes: 


All Grade Level K-8th grade:  Height, Weight, and  Blood Pressure


Vision K-2, 4, 6, 8


Hearing K-3, 7th


Scoliosis  5 and 7th graders


Parents/guardians of any student suspected of deviation from the recommended standard shall be notified with a referral for follow-up with your doctor. 


Universal form



If you have any questions or concerns please feel free to reach out to the school nurse. 


Nancy Wanner 

[email protected]








WELCOME TO Estell Manor Elementary School!


Dear Parent/Guardian:


This letter is to introduce myself.  My name is Nancy Wanner and I am the School Nurse.  Some of the policies that are in place regarding health and wellness will be discussed here. Many of the school policies related to health and wellness were updated in October 2021. 


ATTENDANCE: Students are either considered present or absent. A student is counted as present if the student is in school for 4 ½ hours. Our Dismissal Instruction App is the preferred way to communicate regarding an absence or your child leaving early. If you are unable to do the App please email or call the school if your student is going to be tardy or absent. Students sent home from school due to illness will follow school policy/protocol. 


IMMUNIZATIONS/ PHYSICAL: Have your child’s shot record (immunizations) and physical up to date. The State of New Jersey requires that a child MUST be kept home if his/her immunizations are not current or if a physical from a physician is not on file.


FOOD ALLERGIES: If your child has any food allergies, including dairy, specific foods, dyes, etc. please have this documented by your child’s doctor and a copy provided to the school for our records. If your child needs medication please see the nurse for the forms. The cafeteria will be made aware of your students' allergies listed on the emergency form.  


MEDICATION AT SCHOOL: Medicine should be given at home, if possible. If this is not possible, you must pick up the proper forms in the nurse’s office. Students are not allowed to take medication of any kind in school without a physician’s order. This includes “over-the-counter” medication (Tylenol, Advil, lozenges). A licensed physician must issue a note. Written orders are to be provided to the school from the private physician, detailing the diagnosis or type of illness involved, the name of the drug, dosage, and time of administration. The medication should be brought to the school in the original container, appropriately labeled by the pharmacy or physician. A new note is needed for any change of medication. You must also sign a parental permission form. Medication is NEVER to be sent in with your child. Any medication that is brought in without a doctor’s note will be held in the nurse’s office for the parent to pick up. All medications must be picked up by the last day of school or they will be disposed of on the last day of school. See School Policy 5141.21

SENDING SICK CHILDREN TO SCHOOL: Students must be excluded from school if they have a temperature of 100°F or greater, or if they have had vomiting or diarrhea in the past 24 hours. If your child has an open skin rash or red, itchy, draining eyes then they should also stay home until it is resolved. If your child is sent home with an unidentified skin rash or red, itchy, draining eyes then they will need a doctor’s note to return to school. Please make every effort to keep your child home when they are sick. Not only will they be unable to learn, but they could also infect other children.


COMMUNICABLE DISEASES:  Guidelines for exclusion from school are provided by the New Jersey Department of Health. This is not an all-inclusive list of significant diseases or a comprehensive guide about the diseases or conditions.  For that list please see your family doctor or contact your local health department.

LICE: See Lice Policy on the school website.


ASTHMA: If your child has asthma, they should have medication available at school in case of an attack. Forms for you and your doctor to fill out for asthma medication are available in the health office and online. If we do not have the proper medication on hand, we will call 911 in the event of an emergency.


EMERGENCY FORMS: These are updated on OnCourse via your parent portal.  A Medical History Questionnaire must be completed and returned through your parent portal. If there are any changes to this information throughout the school year those changes should be made through OnCourse. It is very important that we have current phone numbers in the event that we need to reach you. You can also let us know what order you would like us to reach out to you. In an emergency we will try all listed until we reach someone on your emergency list. If unable to reach anyone the administration will take responsibility of the child(ren) until an emergency contact can be reached. 


This information is available regarding your student for before/after care school programs, sports, and class trips so the more thorough you are the more helpful in case of an emergency. 


Sports Physicals: Sports physicals also known as Pre-Participation Evaluations (PPE) are state forms and are only good for 365 days.  Please make sure to see your pediatrician yearly to keep your physicals up to date.  Three times a year we collect the PPE/sports packets for the school doctor. There is a deadline for getting forms into school so they can be processed so please be aware of the deadline for returning the forms. This link is the form for your doctor however it is not the complete packet which is available online.


YEARLY SCREENINGS: Height, weight, and blood pressure are done on each child throughout the school year. Periodically your child will also receive a vision and/or hearing screening. If your child fails a screening or has a discrepancy, you will receive a notice with suggested follow-up. Scoliosis screenings are done in the 5th and 7th grades. 


Please note that INJURIES that occur outside of the school or school functions are the responsibility of the parent/guardian. Children are not treated for any complaints or concerns that occur over the weekend or functions/activities that are not school-related.  


Due to the number of students visiting the nurse’s office on a regular day, it would be difficult to inform each parent of every incident. The nurse uses a variety of ways to communicate from explaining the information to the student to a nurse’s note and if needed a phone call or email. Please check your child’s folder and remember to ask your child how their day was at school. Please keep your emergency information up to date and remember to have a backup plan in case your child needs to be picked up from school.


Thank you in advance for your attention to these important matters. These guidelines are to ensure the safety and well-being of all of our students and staff. If you have any questions or concerns, please contact me, Mrs.Wanner, at 609-476-2267.





 6A:16-2.4 Required student health records 24 (a) Each school district shall maintain for each student pursuant to N.J.A.C. 6A:32 a student health record that includes the following mandated records: 1. Findings of health histories, medical examinations, and health screenings pursuant to N.J.A.C. 6A:16-2.2 and 4.3; and 2. Documentation of immunizations against communicable diseases or exemption from these immunizations pursuant to N.J.A.C. 8:57-4.1, 4.3, and 4.4.


Regarding Sports


The following documents are to be distributed annually to every student-athlete and cheerleader in any grade level, prior to participation in an athletic activity, in each school district and nonpublic school that participates in an interscholastic sports, intramural sports, or cheerleading program.


Important Note: The Cardiac Assessment Module is to be completed by all healthcare providers prior to any student-athlete physical examination. Please make sure the date on the form is the date of the module completion.



Please note the documents above which require a parent/guardian sign-off form. These forms, whether personally distributed or electronically uploaded, must be individually signed and returned. One generic signature for all documents is unacceptable.







  • FEVER - Depending on how your child feels he/she may attend school with a temperature less than 100 degrees F. A student should be without a fever for 24 hours (without fever-reducing medication i.e.: Tylenol, Advil) before returning to school.

  • STOMACHACHE, VOMITING, DIARRHEA - A child with vomiting and/or diarrhea should be kept at home until symptoms have resolved for 24 hours and the child is able to keep in food and liquid.

  • INFECTION AND ON ANTIBIOTICS - (i.e. respiratory infection) Children are no longer considered contagious after 24 hours of antibiotics, depending on how your child feels they may return to school.

  • RASH - If your child has an unusual rash or it is associated with a fever, keep your child home until you have discussed the rash with your Healthcare Provider.

  • CONTAGIOUS DISEASE: strep throat, impetigo, and bacterial pink eye may return after 24 hours of treatment with antibiotics.

  • NUISANCE DISEASES: head lice, scabies, and ringworm - must be treated before returning to school.

  • CHICKEN POX: the child may return to school 5-7 days after the onset of the rash, with all sores dry and scabbed over.

  • Teachers have the responsibility of enforcing these regulations in the interest of safety and to promote a positive education experience.  Unwell students are sent to the school nurse. 

With the temperatures dipping outside, we want to remind you of the importance of sending your children to school with proper winter wear. Of particular concern are our students who have been choosing to come to school with no coat.

 Please be sure to send your child with weather-appropriate outerwear including gloves, and hats on chilly days so that the children may benefit fully from their time at school. Students go outside for recess before school and at lunch every day (weather permitting), it is important that your student dress appropriately.  Dressing in layers is helpful. 

RULE OF THUMB-WHEN IN DOUBT, BRING SOMETHING ELSE TO WEAR JUST IN CASE.  Enforcement:  Teachers have the responsibility of enforcing these regulations in the interest of safety and to promote a positive education experience.  Students not meeting dress standards will be referred to the administration where adjustments can be made through parental contact or through alternative clothing on hand (when available).





Physicals and immunizations 

A copy of your child's annual physical and immunizations can be emailed to the nurse's office.

[email protected] 

All  PreK 3 and 4, kindergarten,  and students new to Estell Manor school (any grade) are required to have

a copy of their physical and immunizations

prior to the 1st day of school submitted to the health office. 

Any student looking to participate in our sports programs

will need a sports physical PPE on file

(physicals expire after 365 days)

If you are having trouble getting an appointment with your pediatrician or family doctor please reach out to me via email

ASAP so the proper protocol can be followed.  








Medication in school: the school policy is the same for all medications whether they are prescription, over-the-counter, Holistic medicine, or herbal (lozenges).  Parents/guardians must transport medication to and from school, children are not allowed to carry medication in school. Any medication not picked up will be disposed of by the school nurse at the end of the last day of school. 

See Policy file code 5141.21 



Student medical examination at least once during each developmental stage: early childhood (preschool through grade 3), pre-adolescence (grade 4 through 6); and adolescence (grade 7 through 12). These examinations should be conducted at the child's medical home in order to ensure continuity of care. Make sure to have your doctor complete the PPE so your child can play the sports offered at Estell Manor School. 







The health of your child:



Children should not return to school until they have been without a fever for at least 24 hours (without medication). If your child is sent home because of vomiting or diarrhea please keep him/her home for at least one additional school day so that they are symptom-free and has the chance to rest and rehydrate.  Often children are sent back to school too early and we must call the family to pick them up because they are not well.  Please allow your child the opportunity to REST and heal. 


Medical examinations of your student should be conducted at least once during each developmental stage: in early childhood (preschool through grade 3), pre-adolescence (grade 4 through 6, and adolescence (grades 7 through 12) The school nurse can keep a copy of your child's physical so if they decide to do any of the activities that require a physical it is already on file.  Please remember when sending in a copy of your child's physical to include name and grade. 




Nurse Plan
The following is the nurse’s plan I follow all year:



If your child has any of the following, they will be sent home:
 temperature of 100 degrees or higher
 vomiting or diarrhea
 symptoms of an eye infection
 an unexplained skin condition
 other conditions as determined by the school nurse
 If your child is sick, keep them home.
 Children should not return to school until they have been without a fever for at least 24 hours (without medication).



 Differences between a cold and the flu
 Common symptoms of flu include
 high fever
 severe headache
 muscle and body aches
 exhaustion and dry cough
 a child may have vomiting and diarrhea
 Symptoms of a common cold include:
 Sneezing & stuffy nose
 sore throat
 hacking cough
 possible low-grade fever



 Important prevention tips:
 Cover your nose and mouth with a tissue when you sneeze or cough or cough and sneeze into your sleeve (right at the bend of the arm).
 Wash your hands for 20 seconds with soap and water often. Alcohol-based hand sanitizers are also useful.
 Avoid touching your eyes, ears, mouth, or nose. Germs spread this way.



 Avoid close contact with sick people.
 Drink plenty of fluids, get lots of rest, reduce stress, eat a nutritional/balanced diet, and exercise daily.
 Dress appropriately for the weather.
 Ask your medical provider about taking the flu vaccine




See School Policy 




Please keep phone numbers updated in the school office. When your child is sick or injured, we need to be able to contact someone immediately.





Dear Parent(s)/Guardian(s)








Scoliosis is a lateral curvature of the spine, in which the spine may curve to the left or the right.  It is most commonly detected during the time of rapid growth and may progress if not treated.  The purpose of a screening program is to recognize scoliosis in its earliest stages.








Every board of education must provide the biennial scoliosis screening of every student between the ages of 10 through 18. This screening will be done for the students in grades 5 and 7, as required by statute N.J.S.A.  18A:40‑4.3.








A pupil may be exempt from this examination if requested by the parent/guardian. A parent or guardian can opt their child out of the student health screenings by submitting a written request to the school district, pursuant to N.J.S.A. 18A:40-4.4 We will record the scoliosis exam on your child’s health record from their yearly physical exam or participation physical exams (PPE) for sports from your doctor.  








Health screening will be between February and May. Screenings are done one student at a time and shirts stay on during the assessment. You are invited to be present during the exam if you so desire so please contact the school nurse to make arrangements. If your child is being watched for scoliosis or is under treatment please notify the school nurse. 




Thank you,




Nancy WannerRN CSN










Given to the parents and guardians of students in the 6th grade by the health teacher (Mrs. Sharpe).


The fact sheet can be accessed and downloaded at:






The fact sheet is available at:



Information on the student-athlete concussion policy and guidance is available at:


N.J.S.A. 18A:40-41.2 The fact sheet is available at:




Additional resources can be found at:




N.J.S.A. 18A:40-12.6 requires that school nurses designate, in consultation with the board of education, and train school employees who volunteer to administer epinephrine when the school nurse is not


physically present at the scene. Training Protocols for the Emergency Administration of Epinephrine pursuant to N.J.S.A. 18A:40-12.3–12.6 are available at:




The guidelines are available at:




School immunization laws are one of the most effective tools for preventing outbreaks of contagious diseases in schools and communities. All 50 states have school immunization requirements. Administrators of all New Jersey public and private schools, including child care, preschool, Head Start, and K-12, are responsible for ensuring that all students are in compliance with N.J.A.C. 8:57-4, Immunization of Pupils in School regulations. Information is available at:


Additional information about vaccines and recommended schedules is available at:




New Jersey requires all children six months through 59 months of age attending any licensed child care center or preschool facility annually to receive at least one dose of influenza vaccine between September 1 and December 31 of each year. Children who are vaccinated with the 2012-2013 seasonal influenza vaccine prior to September 1 are considered in compliance with the regulation. There is no grace period for unvaccinated children. Students who have not received the influenza vaccine by December 31st must be excluded from the child care/preschool facility for the duration of influenza season (through March 31st) until they receive at least one dose of the influenza vaccine, or until they turn 60 months of age. An Immunization Requirements FAQ is available at:




Schools are required to have automated external defibrillators and to establish emergency action plans for responding to sudden cardiac events. The complete law may be accessed at




Department of Education requires school districts to make accessible information regarding the NJ FamilyCare Program for students who are knowingly without medical coverage. For more information regarding the NJ FamilyCare program, you may go to


Sports Physicals


New Jersey Department of Education ANNUAL ATHLETIC PRE-PARTICIPATION PHYSICAL EXAMINATION FORM. Copies of this form are also available in the Nurse’s Office.