Welcome to Mrs. Lipnitz's Nurse Page

Dear Parents/ Guardians of Incoming 6th Graders,

Hi, my name is Elaine Lipnitz and I am the School Nurse for the Haines 6th Grade Center.  Let me start with a heartfelt hope that you and your family are all well during this trying time. With families juggling additional responsibilities of supporting the distance learning platform, I am sensitive to adding more tasks on your “to do list.” This information I’m sharing with you is time sensitive. With the school weeks waning and the closure extended it could not be postponed any longer. As a Nurse who had worked in a busy Pediatric Office for well over 10 years, I understand the necessary time needed for scheduling a pediatric well visit and getting forms completed, so I wanted to give you plenty of notice.

There are three forms you need to be aware of:

1-      Preparticipation Evaluation Form (Physical Form used for Middle School)

2-      Immunization Requirements for 6th Grade

3-      Medication Authorization Form

1-  Preparticipation Evaluation Form: The physical form is NOT mandatory for your child to enter 6th grade unless your child is new to the district or they wish to play an intramural/interscholastic sport. Students new to Medford Township are required to have a physical form on file in the nurse’s office. In addition, any student who may opt to play an intramural/interscholastic sport  will be required to have a current physical form on file.  As per the State requirements, no other form (other than the attached) may be accepted. Please note, physicals are good for ONE YEAR from the date of the examination.  A year after that date they expire and a new physical is required for a child to participate in extracurricular sports.

There are four pages included with the form. The first page is completed by the parent/guardian. The second is also completed by the guardian but only if your child requires adaptive/supportive devices to play. The 3rd and 4th page must be completed by a physician. Your physician must sign in THREE areas, STAMP it with the office stamp, and complete ALL boxes.  Failure to add any of these items will necessitate the form being returned. We can not accept incomplete forms.  All forms are also reviewed by the school physician before final clearance for participation. 

2-      Immunization Requirements: As required by the State, any child entering 6th grade must receive TWO mandatory vaccines before they can enter school in September. The two vaccines are: Tdap (tetanus, diphtheria, and pertussis) and the Meningococcal vaccine

These vaccines are traditionally given at the 11-year-old well visit.  At this time, there is no indication from the State of any change in this requirement. Physicians are still highly recommending children get their vaccinations on schedule. I know many parents have concerns about taking their child to their physician for a well exam during the pandemic.  Please know the NJAAP (New Jersey Chapter, American Academy of Pediatrics) has provided specific guidelines to doctors on how to safely conduct their practice during these challenging conditions.  I suggest that when you call to make an appointment for your child, you inquire as to what precautions the office has in place to ensure both you and your child’s safety and well-being during the visit.  Once your child receives the required immunizations, a copy of the vaccination record must be provided to Haines Sixth Grade Center. You may mail the form (we are currently receiving all mail) or drop it off during the summer when office hours are resumed. We highly recommend you keep a photocopy for your own records. 

If your child does not turn 11 years old until after the first day of school, he/she will not be required to have the vaccinations before their 11th birthday. However, he/she will be required to receive them within a week of their birthday.  When you make your child’s appointment, please have the physician forward a note as documentation of the appointment date. 

The state does an annual review of ALL sixth grade student immunization records. We must be 100% in compliance with this mandate.  Therefore either a current immunization record with the required vaccines or documentation of an appointment must be on file for every enrolled student when the State comes to audit the immunization records.

3-      Medication Authorization Form: This form is required for a child needing any daily medications during the school day.  This does not include inhalers and epinephrine auto injectors.  Students who have noted on their health files as having asthma or a life threatening allergy will receive a copy of the necessary forms directly from me at another time.  If you do not receive one and/or need one sooner, please email me and I will be sure to get one to you.

Thank you very much for your attention to this important information.  I know September is still a way off but the last thing anyone at Haines wants to do is exclude your child from the start of school because he/she does not have the mandatory immunizations. I truly hope we will be back to some sort of normalcy when the bell rings on the first day of school. 

Please be alert for other emails from me or the Haines School as we begin the preparations and transition for both you and your 5th grader for Middle School next year. I know our principal, Mrs. Farrow, is planning a virtual orientation which will be shared with you before the end of the school year. Our entire staff is looking forward to greeting our new Panthers!

If you have any questions or concerns, please do not hesitate to contact me through email, [email protected]  or leave a phone message at school.  I check both daily and will get back to you as soon as possible.  

Elaine S Lipnitz, RN, BSN

Haines 6th Grade School Nurse

162 Stokes Road, Medford  

609-654-4056, ext 8534

[email protected]


Vaccine Requirements for Children Entering 6th Grade in September 2020



In accordance with the State of New Jersey regulations, as specified in Chapter 14, Immunization of Pupils in Schools (N.J.A.C. 8:57-4.1 - 8:57-4.20), all incoming Sixth Grade students must receive the following additional immunizations BEFORE entering school in September 2020.


1- One dose of Tdap (tetanus, diphtheria, acellular pertussis)

Exception: Children who received a Td booster less than five years prior to September 2020 shall not be required to receive a Tdap dose until five years have elapsed from the last DTP/DtaP or Td dose.


2- One dose of meningococcal vaccine - routinely recommended for 11 years and older.


With summer vacations and busy physician schedules we encourage you to make arrangements as early as possible for your child to have their physical examination and immunizations. Please have your physician review your child's immunizations to ensure that they meet the State requirements. After your child receives their vaccinations please obtain documentation from your physician that can be given to the school nurse.


Proof of the immunizations must be presented to your child's school nurse prior to the first day of school. Your child will be unable to attend the Haines 6th Grade Center without evidence of the proper immunizations.


Exception: If your child will turn eleven years of age after the first day of sixth grade (September 2020) please call the school nurse.


If you do not have insurance or your insurance does not cover immunizations please contact the school nurse for further assistance.


Mrs. Elaine Lipnitz, BSN
609-654-4056, ext. 8534