LCMR Nurse

Ashley Robinson - HS School Nurse - robinsona@lcmrschools.com
Alyssa Lopez - HS School Nurse Clerk
609.884.3475 ext: 247 | Fax: 609.884.0546


Required Back To School Forms

**All required forms must be updated every school year.

  • EMERGENCY CONTACT FORM

  • SCOLIOSIS SCREENING NOTIFICATION

  • Medications
    • Over the Counter Medications
      • Need OTC MED FORM signed by parent/guardian
      • Medications must be supplied from home
      • Medications must be kept in nurse’s office
    • Prescriptions Medications
      • Need PRESCRIPTION MED FORM signed by parent/guardian
      • Need written request/permission from prescribing doctor including medication name, dose, and time to be given
      • Medication must be provided in labeled pharmacy bottle/package
      • Medications must be kept in nurse’s office (exceptions: inhalers, epi pens)

  • New Incoming Students
    • An updated physical from your doctor (from the past year) is required within 30 days of entering the district
    • Vaccine records must be provided, and any outstanding vaccines are required to be obtained within 30 days of entering the district
    • NURSE’S LETTER for INCOMING STUDENTS
    • HEALTH HISTORY FORM (for parent/guardian to provide information)

  • Student Athletes
  • Students with Asthma
  • Students with Allergies
  • Students with Diabetes
    • Provide diabetes management plan from your doctor
    • Provide PRESCRIPTION MEDICATION FORM for insulin and/or glucagon
    • Please send required medications and supplies: insulin/syringes/pods, glucagon, glucometer, test strips, lancets, ketone strips, snacks or emergency sugar source, water bottle, etc.

  • Students with Seizure Disorders