[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-256314-105":53,"doc-detail-256314-en":127},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":120,"head_meta":122,"extra_data":124,"updated_unix":126},105,"en","jersey-shore-bulldogs","Jersey Shore Bulldogs","","This document outlines the necessary medical forms required for student registration at Jersey Shore schools. It details the Health History (Form A), Medical Screening Acknowledgement (Form B), Private Physician’s Form of Physical Examination (Form C), and Private Dentist’s Form of Dental Examination (Form D). Specific grade levels (K, 1, 3, 6, 7, and 11) are mandated by the Pennsylvania State Health Department to undergo physical and dental examinations within one year of the school year's commencement. The document provides contact information for school nurses and fax numbers for each school division: Senior High, Middle School, JS ES, Avis ES, and Sall ES. The forms, including the Commonwealth of Pennsylvania Department of Health Form #H511.336 (JSASD Med. Form C) and Form #H514.027 (JSASD Med. Form D), must be completed by healthcare providers and returned to the school nurse promptly.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/jersey-shore-bulldogs/256314/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/jersey-shore-bulldogs/256314.png","ImageObject",442,249,{"name":88,"@type":89},"Emma Mercer","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-24","2026-09-13",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",13,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"What medical forms are required for student registration?","Question",{"text":109,"@type":110},"The required medical forms include Health History (Form A), Medical Screening Acknowledgement (Form B), Private Physician’s Form of Physical Examination (Form C), and Private Dentist’s Form of Dental Examination (Form D).","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"Which grades require a physical examination?",{"text":114,"@type":110},"Students entering school in grades K or 1, and in grades 6 and 11, are required to have a physical exam according to the Pennsylvania State Health Department. The exam must be performed within one year of the start of the school year.",{"name":116,"@type":107,"acceptedAnswer":117},"Which grades require a dental examination?",{"text":118,"@type":110},"Students entering school in grades K or 1, and in grades 3 and 7, are required by the Pennsylvania State Health Department to have a dental exam. The exam must be performed within one year of the start of the school year.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},256314,1791057868,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":9,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":4},962084925502,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","In order to get to know your child and complete his/her registration, certain medical forms are necessary. Attached are the following forms that need to be completed for registration:  \n􀁸 Health History (Form A)  \n􀁸 Medical Screening Acknowledgement (Form B)  \n􀁸 Private Physician’s Form of Physical Examination (Form C)  \nUpon entering into school in grades K or 1 and in grades 6 and 11 , all students are required by the Pennsylvania State Health Department to have a physical exam. If your child will be seen by your family health care provider, please have the enclosed Commonwealth of Pennsylvania Department of Health Form \\#H511.336 (JSASD Med. Form C) completed and returned to the school as soon as possible. The exam must be performed within one year of the start of the school year.  \n􀁸 Private Dentist’s Form of Dental Examination (Form D)  \nUpon entering into school in grades K or 1 and in grades 3 and 7 , all students are required by the Pennsylvania State Health Department to have a dental exam. If your child will be seen by your family dentist, please have the enclosed Commonwealth of Pennsylvania Department of Health Form \\#H514.027 (JSASD Med. Form D) completed and returned to the school as soon as possible. The exam must be performed within one year of the start of the school year.  \nPlease return the completed form(s) to the nurse at your child’s school. If you have any questions please contact the school nurse and/or if you prefer to have the form faxed, use the appropriate numbers below:  \nSenior High Middle School JS ES  \nAvis ES  \nSall ES  \nJudy Morlock RN/CSN  \nJudy Morlock RN/CSN Melissa Seasholtz RN/CSN  \nMelissa Seasholtz RN/CSN  \nMelissa Seasholtz RN/CSN  \nPh: 570-398-7170  \nPh: 570-398-7400  \nPh: 570-398-7120  \nPh: 570-753-5220  \nPh: 570-398-2931  \nFax: 570-398-5612  \nFax: 570-398-5618  \nFax: 570-398-5624  \nFax: 570-753-3469  \nFax: 570-398-5066","cbCaieAd9l8filgi","https://ap.wps.com/l/cbCaieAd9l8filgi","pdf",146108,"English","# Required Medical Forms\n## Health History (Form A)\n## Medical Screening Acknowledgement (Form B)\n## Private Physician’s Form of Physical Examination (Form C)\n## Private Dentist’s Form of Dental Examination (Form D)","[{\"question\":\"What medical forms are required for student registration?\",\"answer\":\"The required medical forms include Health History (Form A), Medical Screening Acknowledgement (Form B), Private Physician’s Form of Physical Examination (Form C), and Private Dentist’s Form of Dental Examination (Form D).\"},{\"question\":\"Which grades require a physical examination?\",\"answer\":\"Students entering school in grades K or 1, and in grades 6 and 11, are required to have a physical exam according to the Pennsylvania State Health Department. The exam must be performed within one year of the start of the school year.                            \"},{\"question\":\"Which grades require a dental examination?\",\"answer\":\"Students entering school in grades K or 1, and in grades 3 and 7, are required by the Pennsylvania State Health Department to have a dental exam. The exam must be performed within one year of the start of the school year.\"}]","Jersey Shore Bulldogs | PDF",1789302034]