The Heichal HaTorah medical forms are available for download using the links below.
These forms can be mailed to our office or click here to submit them online.
All non-sports forms must be submitted for your son to be admitted to school.
All students require documentation of a physical dated within 364 days of the first day of school. You may use your healthcare provider’s form or download the Universal Health Form
All students are required to have a parent fill out the Health Update Form.
All Incoming Freshman and Transfer Students must submit
documentation of immunizations. Your healthcare provider will provide that form.
All students who regularly take any prescription medications, please download and fill out the Medication Administration Form.
Any student who plans to play a team sport, like basketball, will require the following forms submitted before the first practice:
- 1. Scholastic Student-Athlete Act Guide for Parents (Read Only)
- 2. Preparticipation Physical Evaluation (PPE)
- 3. Preparticipation Clearance Form (PCF)
- 4. Preparticipation Health History Form (PHF)
- 5. Sudden Cardiac Death Pamphlet (Read Only)
- 6. Cardiac Sign-Off Sheet
- 7. Sports-Related Concussion (Read and Sign)
- 8. Sports-Related Eye Injury Fact Sheet (Read Only)
- 9. Health History Update Questionnaire (Will need to fill out within 90 days)
- 10. Opioid Athlete Sign-Off Form
- 11. Opioid Fact Sheet (Read Only)
Our school nurse is on-site Monday-Thursday, 12:00-4:00pm. Her primary role is administrative to ensure the Yeshiva’s compliance with state and local health and safety regulations. She is always available for consultation concerning the health issues of our students, as well as state mandated screenings as needed. Click here to send a message to our school nurse.
In case of an emergency during school hours, a member of the school administration will initiate contact with emergency medical services in Teaneck and, if necessary, your son will be transported to Holy Name Medical
Center across the street. Every effort will be made to contact parents and/or emergency contacts before any decisions are made.