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Salem Drive School

Achieving Excellence

29 Salem Drive, Whippany, NJ 07981

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  • Our School
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    • Amling - Grade 2
    • Baron - Grade 3
    • Brozyna - Grade 4
    • Carey - Grade 5
    • Cashen - Computer Applications
    • Cataliotti - Basic Skills/PACT
    • Czarnomski – Grade 3
    • Fittipaldi - Basic Skills
    • Gibbs - Spanish
    • Hollywood - Kindergarten
    • Lamond - Grade 2
    • Myron - Kindergarten
    • Nak - Physical Education
    • Pedalino - Media
    • Pierone - Grade 2
    • Pomel - Music
    • Protasiewicz - Grade 1
    • Rittershofer - Grade 1
    • Russo - ESL
    • Serido - Grade 4
    • Sussman - Art
    • Venner - Grade 1
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    • Young - Speech
    • Frey - Grade 2
    • Gavin - Grade 5
    • Leavy - Grade 3
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    • Online Returning Student Registration
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  • Salem Drive School
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Allergy & Asthma Management

  • Home
  • School Forms
  • School Food Allergy Plan
  • Food Allergies 101
  • Asthma 101
  • Resources
  • Allergy & Anaphylaxis Forms

    Allergy & Anaphylaxis Forms

    These forms need to be filled out annually for all student's with life threatening allergies requiring the treatment of Epinephrine.  The forms include the Emergency Plan that needs to be filled out by Health Care Provider and the Parent/Guardian Authorization form.

    Allergy and Anaphylaxis Forms.pdf 178.99 KB (Last Modified on July 29, 2019)
    Comments (-1)
  • Food Allergy History Form

    Food Allergy History Form

    Food Allergy History Form.pdf 173.12 KB (Last Modified on July 29, 2019)
    Comments (-1)
  • Asthma Action Plan

    Asthma Action Plan

    These forms need to be filled out annually for all students requiring an inhaler at school.  The forms include the Asthma Action Plan that needs to be filled out by a Health Care Provider and, if applicable, the Authorization to Self-Administer form to be filled out by a parent/guardian.

    Asthma Treatment Plan PACNJ.pdf 315.73 KB (Last Modified on June 20, 2022)
    Comments (-1)

Address

29 Salem Drive, Whippany, NJ 07981

Phone

(973) 515-2440

Fax

(973) 515-5008

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