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Keeping Our Kids Safe, Healthy & In School

Student Health Recordss

Health History and Appraisal (A-45)

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    The Health History and Appraisal (A-45) form was revised in June 2014 to add concussion and traumatic brain injury (concussion/TBI), as recommended by the New Jersey Special Education and Traumatic Brain Injury Task Force in their report issued in March 2014.  School nurses are required to document if a student has a diagnosed concussion/TBI.  The A-45 was last revised in June 2012 to accommodate school districts that have chosen to measure students' Body Mass Index (BMI). It is at the discretion of the school nurse to enter BMI on the form or leave it blank, since it is currently not a required health screening in New Jersey.