Please complete the following registration forms and return to your school’s Full Service Community School Health Center.

If you’d like assistance filling out these forms, please call your Treatment Coordinator listed below.

School 5 – Masuma Begum 973-321-2273 or 973-321-2275.

The Frank Napier Academy – Victoria Vargas 973-321-1000 ext. 20406

The New Roberto Clemente –  Jenny Cepeda 973-321-1000 ext. 22489

John F.Kennedy High School Complex – Brenda Clark  973-321-1000 ext. 50034

School 15 – Shalika Ulloa 973-321-1055

Senator Frank Lautenberg – 973-321-1000 – Diane Savage 973-321-1000 ext. 20648

School 2 – Alice miranda 973-321-1000 ext. 20273

**Please note forms can be picked up and or filled out at the FSCS Health Center. Please note you do not need to switch your  Pediatrician/ Primary Care provider (PCP)  for sick visits and sports physicals.