Mandatory Physical and Immunization Form, to be completed by your child's physician. 

Mandatory Health History Form, to be completed by parent.

FREE physicals for uninsured, Monmouth County residents. 

Religious Exemption Form- To be completed by parent. For students who's religious beliefs interfere with receiving immunizations.

Medical Exemption Form- To be completed by student's medical doctor. For students that have a medical condition that interferes with receiving immunizations.

PreK Immunization Requirements:

4 doses of DPT or DTaP

3 doses of Polio

1 dose of MMR after 1st birthday

1 dose of Chicken Pox vaccine after 1st birthday

1 dose of HIB after 1st birthday

1 dose of PCV after 1st birthday

1 dose of Flu vaccine- must be administered between September 1st and December 31st of school year child is enrolled in (repeated each year in PreK).

*current physical- must be within past 12 months

Kindergarten Immunization Requirements:

5 doses of DPT or DTaP

4 doses of Polio

2 doses of MMR

3 doses of Hepatitis B vaccine

1 dose of Chicken Pox Vaccine

*current physical- must be within past 12 months

*Of Note-  “Roll-Over” PreK to K students will need:

1 additional dose of DPT or DTaP  (totaling 5 doses)

1 additional dose of Polio  (totaling 4 doses)

1 additional dose of MMR  (totaling 2 doses)

3 doses of Hepatitis B vaccine

*updated physical- must be within past 12 months