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Madison High School
170 Ridgedale Avenue
Madison, NJ 07940
Phone: 973-593-3117

Diane Fastiggi
Madison High School Nurse
Phone 973-593-3146 
Fax 973-593-3189
 
Spring Sports Forms Due Thursday, February 14th
 
Hello Students and Parents
 
My name is Diane Fastiggi and I am excited to be working as the school nurse at Madison High School.  I love working with the students and faculty to create a health office where students can come not only when they don't feel well but also to learn how to maintain healthy lifestyles.  
 
My hours are 7:35am to 3:05 pm Monday through Friday, and my office is located in "E" hall next to the athletic office. Stop by and visit if you're in the building or call me and leave a message and I'll get back to you as soon as I can.  
 
Nursing Office Medical Forms:
 
Frequently used forms can be printed out by clicking each item below:
Athletic Forms:
 
Physical Examinations for all sports are valid for one year from date of original examination, however an updated Part A must be submitted prior to the start of each season.** 
 
Completed forms should be returned to the nurse’s office to be processed no later than two (2) weeks prior to the start of practice for each season. 
 
All sports physicals must be approved by the school physician prior to the student participating in the sport of his/her choice.
 
Each year, an Annual Athletic Pre-Participation Physical Examination Form must be completed by both parents/guardians and the athlete's doctor. 
 
You can access the form by clicking on the link below:
 
 
 
with an Update form completed prior to the student participating in fall, winter and spring sports seasons. 
 
To access the Physical form, click the link below:  
 
 
 
An Update Form must be completed for each sport that the athlete is participating in if the physical date is more than 60 days past.
 
The Update Form can be accessed below: