Benjamin Franklin Middle School

Nurse’s Corner


Welcome to BFMS Nurse’s Corner.  Here you will find all necessary forms and documents for the Health Office.  In addition I will be posting pertinent health information for you and your student throughout the school year.  Please feel free to contact me at 201-833-5460 or e-mail me at with any questions or concerns. 

Forms and Documents 
Asthma Action Plan click here
Authorization for Release of  Medical Information click here
Epinephrine Administration Medical Forms click here
Epi-pen Protocol click here
Immunization Requirements (GRADE 6) click here
Intramural Physical Form Fact Sheet click here
Intramural Physical Form click here
Medication Administration click here
Parents Epinephrine Consent click here
Parent Permission to Release Medical Record to Appropriate Staff click here
Physical Examination Form click here
TDAP and Meningoccal Form click here