Covid-19 Consent Forms
In School - COVID-19 Testing Consent Form
5-11 year old DOH Parental Consent Proxy Authorization Form NDOH
12+ year old Vaccination Consent
Updated 8/6/2021
We have partnered with the Newark Health Department, the Essex County Health Department, and Saint James Health. Through these efforts, vaccination clinics will be available across our schools. While we have ongoing vaccination locations at East Side, West Side, and Malcolm X Shabazz, all other clinic locations will be pop-up clinics that will be set up outside the school building. The schedule of dates and locations can be found using the link below.
In addition, please note that pre-registration is available for Newark Health Department and Saint James Health clinics using the links provided in the schedule, but walk-in registration is available on site for all locations. For students ages 12-17, parental consent can be given electronically for Newark Health Department and Saint James Health clinics using the links provided, but the parent must be present with the child for Essex County Health Department clinics.
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a. COVID-19 Testing Locations:
https://www.newarknj.gov/news/covid-19-testing-sites-for-newark-residents
b. NJDOH COVID-19 Information for Communities and the General Public:
https://www.nj.gov/health/cd/topics/covid2019_community.shtml
c. Get the Facts about Coronavirus:
https://www.cdc.gov/coronavirus/2019-ncov/index.html
d. Symptoms of COVID-19:
https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html
e. Testing:
https://www.cdc.gov/coronavirus/2019-ncov/testing/index.html
https://covid19.nj.gov/pages/testing
f. How to Protect Yourself:
https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/prevention.html
g. What to Do if You Are Sick: