School Departments

Nurse's Office


Cedar Hill:          Valley View:

Hilldale:    William Mason:


Lazar Middle: and

Montville High: and


February 8, 2021


Dear Parent/Guardian:


The New Jersey Department of Health and Senior Services has mandated that children born after January 1997 and entering grade six must receive a booster dose of the Diphtheria, Tetanus Toxoids and Pertussis, (Tdap) vaccine as well as one dose of the  Meningococcal vaccine.


This immunization mandate has not changed due to the pandemic; however, in light of these times, some of the particulars on how to notify your school nurse have changed. 


Once your child has received these two immunizations, usually at their 11-year-old physical, you must have the student’s Primary Healthcare Provider write a note or complete the form below. The signature of the primary care provider and office stamp must be included.  Please be sure to return it via email to your school nurse by June 21, 2021.  If you are unable to obtain these vaccines by June 21st, please know your child will still need to receive the vaccines over the summer and before beginning grade 6 in September.


If proof of these immunizations is not received by the first day of school in September 2021, the student will be excluded from attending Robert R. Lazar Middle School.


If your child will turn eleven (11) during the summer months, please return this completed form during the summer by mail, email or fax (973-334-1033) to the Robert R. Lazar School addressed to both of the school nurses. The mailing address is 123 Changebridge Rd., Montville, NJ 07045.


If your child will turn eleven (11) years old on or after the first day of school, you have four days after your child’s birthday to have your student immunized; therefore, the form is due on the fifth day after the birthday.  Please make your child’s physical appointment early in order to comply with the law.  If the form is not received on time, your child will be excluded from attending school until the proof of immunization is received at the Lazar Health Office.


Please contact your school nurse if you have any questions or concerns.

Thank you for your cooperation in this important matter.


Certified School Nurse


Student: __________________________________________Birthdate:_____________________


Grade: ___________________Teacher or Homeroom: __________________________________


***According to NJ immunization requirements, the Tdap must be at least five years after the last dose of DTP, DTaP or    


The above named student has received:


  1. Tdap booster on   ________________________________________

                                              month, day, year


  1. Meningococcal on _______________________________________

                                              month, day, year


Primary Care Provider Signature & Stamp_____________________________________________

School Counseling

Cedar Hill Book Bin Nomination Form 

(click above link)

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Respect for Others: Treat others how you want to be treated

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Respect for Community: Be cooperative, supportive, accept people's diversity

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