Preschool Medical Requirements

Please call the Office of Nursing Services @ 973-509-4000 ext. 50406 any questions you may have.
  1. Health Survey
  2. Physical Exam
  3. Immunization Record
  1. Student Health Survey (Completed by Parent/Guardian)

  2. Physical Exam - MUST be documented on the Universal Child Health Record Form.

                Printouts of electronic medical records will not be accepted.

    If your child has a medical condition and/or will need medication or other nursing services (example: life-threatening allergies, seizures, asthma, diabetes, daily medication, etc.), forms completed by your child’s healthcare provider and parent/guardian are required prior to the first day of school. See district forms.

  3. Immunization Record (Official documentation as stated below)

 NJ State Sanitary Code: Chapter 14

Immunization of Pupils in Schools

New Jersey Department of Health Preschool Immunization Requirements

 Documents Accepted as Evidence of Immunization – The following documents will be accepted as evidence of a pupil’s immunization history provided that the individual immunizations and the date when each immunization was administered are listed.  If available, please include your child’s New Jersey Immunization Information Registry ID #.


  1. An official school record from any school indicating compliance with the immunization requirements of this Chapter.
  2. A record from any public health department indicating compliance with the immunization requirements of this Chapter.
  3. A certificate signed by a physician licensed to practice medicine, osteopathy, physician’s assistant or a licensed nurse practitioner in any jurisdiction in the United States indicating compliance with the immunization requirements of this Chapter.

Medical Exemption

A medical exemption is acceptable from a licensed M.D., D.O., Certified Nurse Practitioner or PA. Medical exemptions must be reviewed annually. A medical exemption is acceptable if it is based upon a valid medical contraindication according to the American Academy of Pediatrics standards.

Religious Exemption

A parent/guardian may request religious exemption by submitting a written and signed statement which includes a religious reference. The request does not need to identify membership in a recognized church or religious denomination, or describe how the administration of immunizing agents conflicts with the student’s religious beliefs in order for the request to be granted.  New Jersey legislation and regulations do not permit philosophical or moral objections as reasons for securing a religious exemption.

Required Mantoux Tuberculin Testing in New Jersey Schools

Only a positive interferon gamma release assay (IGRA) result or a Mantoux skin test using 5 TU of stabilized PPD meets testing criteria. Tuberculin skin test result measuring equal to or over 10mm of induration shall be considered a “significant reaction” and evidence of latent TB infection.

The following tuberculosis testing requirements apply to ALL school districts:

1.   Students born in a country that is not listed below and entering school in the U.S. for the first time, regardless of age or grade.

2.   Students transferring into the New Jersey school system directly from a country not listed below regardless of age or grade.

Exceptions for Both Groups of Students Listed Above 

Tuberculosis testing is not required if the student has documentation of an IGRA or a Mantoux tuberculin skin test at the age of three years or older, regardless of the result of that test.

Tuberculosis testing is not required if the student has attended school in another state prior to entering the New Jersey school system.

Any student with parents claiming religious exemption (TB-8 Form) cannot be compelled to submit evidence of tuberculosis testing. In these instances, a symptom assessment must be done. If TB-like symptoms are reported, a physician must document that the student does not have active disease.  Appropriate forms are available in the office of each district school nurse.

Students entering a U.S. school for the first time in New Jersey or transferring into a New Jersey school from any country NOT listed below must receive an IGRA or Mantoux Tuberculin skin test unless they meet the exemption criterion.

America Samoa


Antigua and Barbuda







Cayman Islands

Cook Islands

Costa Rica



Czech Republic





















Netherlands Antilles

New Zealand

North Ireland



Puerto Rico

Saint Kitts and Nevis

St. Lucia

St. Maarten (Dutch)

San Marino






Trinidad and Tobago

Turks and Caicos Islands

United Arab Emirates

United Kingdom of Great Britain and Northern Ireland

United States of America

United States Virgin Islands

West Bank and Gaza



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