High Bridge Middle School
50 Thomas Street
High Bridge, NJ 08829
Phone: 908-638-4101
Fax: 908-638-4211

Middle School Nurse
Welcome to the HBMS Health Office Home Page
Please feel free to call the HBMS School Nurse with any questions about your child's care while in school: 
Mrs. L. Gresko, RN, CSN
Health Office Phone: 908-638-4101 x4118 
Hours: 8:15-3:30 M-F
Fax: 908-638-4211
The Certified School Nurse is prepared to care for:
  • students with acute and/or chronic medical conditions
  • nutritional concerns
  • medication administration
  • vaccine assurance and promotion
  • sports physicals
  • concussion and other injuries
  • health screenings mandated by the State of New Jersey
  • assisting with 504 plans
  • preparing Individual Health Plans for students with asthma, severe allergies, migraines, visual and hearing difficulties, other health impairments
  • student and parent health education
  • school illness surveillance

Absences:  A phone call is required each day of absence prior to 8:15 am.  Students must present a parent's or doctor's note to the homeroom teacher on the day they return to school.  For your convenience there is an absence form below under forms.  

Important Updates!

Coronavirus-19 information :   For up-to-the-minute information about COVID-19 and other local health issues, use this link for the Hunterdon County Health Department:  http://www.co.hunterdon.nj.us/coronavirus.html

For local resources such as local food pantries, special needs registry, food helpline, NJ 211, Meals on Wheels and more, go to:  https://www.co.hunterdon.nj.us/Coronavirus/communityresources.html

What to do if you are sick? The CDC link to that and other questions answered in English, Spanish, and Chinese, go to:  https://www.co.hunterdon.nj.us/Coronavirus/cdc.html

heart Parents, a special message for you:

If your child is not feeling well,contact your doctor right away. The NJ American Academy of Pediatrics wants parents to know that they should contact their doctor in the early stages of suspected illness, any kind, not just cold or flu or suspected COVID-19 cases. If your primary doctor is not available to return your call and you feel your child needs medical attention, go to the nearest emergency room or phone 911. 

2020-2021 Immunizations and physicals :   6th grade immunizations are still mandatory, no exceptions.  A vaccine print-out from your child's doctor showing proof of having received T-dap and Meningitis boosters must be sent in to the Middle School before the first day of school in order to enter.  If you are unable to obtain an appointment until after September, an appointment card or letter should be sent in to school  before  the first day of 6th grade stating the date of the vaccine appointment.

Sports physicals rules are still in effect. Look for updates on the school's Athletics page.

MEDICINES at SCHOOL: Students carry NO medicines at school, on their person or store in their locker.


  1. Asthma inhalers and epi pens (after a doctor's order is received by the nurse). 
  2. Contact lens solution & drops.
  3. Lactaid supplements.
  4. Cough drops with parent note & pass from nurse.
  5. Diabetes related medicine after doctor's orders and nurse's and principal's written approval


  1. Asthma inhalers . Students in middle school are expected to take responsibility to carry their own inhalers to sports practices, games and class trips.
  2. Contact lens solution, drops and carry case.   The nurse has a very limited supply of these items.  Students are expected to carry their own contact lens supplies.

Any medicine administered at school is done so that the child may attend school.  It must be handed to the nurse directly from the parent along with a doctor's order or I cannot give it.  Medication should be in its original container and box from the pharmacy. There are no exceptions.  Thank you for your cooperation in this matter.


A few  notes:

Screenings: I will begin middle school  health screenings at the at the start of school, beginning with 6th graders.  Parents will receive a referral letter if there seems to be a vision or hearing problem.

The screenings continue throughout the year and include height, weight, and blood pressure screenings for all.  Sixth and eight graders receive vision screening, while the seventh graders receive audiometry (hearing) and scoliosis screening.  A permission letter for the scoliosis screening is available for download on the Health Office Documents page.  Please print this out, complete and send to homeroom at the beginning of the school year.  Notice will be sent home via the students when the scoliosis screenings will 2take place, usually in the spring. You may attend this screening if you wish.

Sports documents are now located under the Athletics Menu on the High Bridge School Web page.  When obtaining a physical for your child for sports, both the History page and the Physical Examination page should remain together for your doctor to complete.  Please ensure that your child's name is on all pages and that all signatures are present. This can be a confusing and tedious process.  Please call with any questions.  I will be happy to answer all questions.

When can your child return to school after a fever?   Children must be fever free -  temperature of less than 100 degrees, for 24hours, without having taken any fever-reducing medication. 

When to Keep Your Child Home Many parents are concerned about when to keep children at home.  The following is intended to help parents with this decision.

Your child should stay home from school if he/she has:

  • Fever of 100 degrees or above in the last 24 hours.
  • Vomiting or diarrhea in the past 24 hours.
  • Persistent or productive cough; sneezing.
  • Severe sore throat, stomach ache and headache. (need to rule out strep)
  • Severe headache, body aches or earache.
  • Rash of unknown cause.
  • Open or draining skin sores.
  • Irritation in one or both eyes, with crustiness, itchiness or drainage.
  • Itchiness of the scalp, with tiny eggs or insects in his/her hair.
  • Symptoms that would prevent him or her from participating, such as excessive fatigue or lack of appetite.
  • Symptoms of the flu:
Symptom Cold Flu
Fever Fever is rare with a cold. Fever is usually present with the flu in up to 80% of all flu cases. A temperature of 100°F or higher for 3 to 4 days is associated with the flu.
Coughing A hacking, productive (mucus- producing) cough is often present with a cold. A non-productive (non-mucus producing) cough is usually present with the flu (sometimes referred to as dry cough).
Aches Slight body aches and pains can be part of a cold. Severe aches and pains are common with the flu.
Stuffy Nose Stuffy nose is commonly present with a cold and typically resolves spontaneously within a week. Stuffy nose is not commonly present with the flu.
Chills Chills are uncommon with a cold. 60% of people who have the flu experience chills.
Tiredness Tiredness is fairly mild with a cold. Tiredness is moderate to severe with the flu.
Sneezing Sneezing is commonly present with a cold. Sneezing is not common with the flu.
Sudden Symptoms Cold symptoms tend to develop over a few days. The flu has a rapid onset within 3-6 hours. The flu hits hard and includes sudden symptoms like high fever, aches and pains.
Headache A headache is fairly uncommon with a cold. A headache is very common with the flu, present in 80% of flu cases.
Sore Throat Sore throat is commonly present with a cold. Sore throat is not commonly present with the flu.
Chest Discomfort Chest discomfort is mild to moderate with a cold. Chest discomfort is often severe with the flu.

In addition, with the flu, stomach ache may be present, and in some children, vomiting and diarrhea.

When to see your physician:


Free or low-cost health insurance  is available for New Jersey children. For help or information,go to:   www.njfamilycare.org  or call 1-800-701-0710

Need help paying for check ups and vaccinations?  Check out the Highlands Health Van's web page.   You can call them for their latest calendar.  They currently serve residents of Sussex, Warren, and Hunterdon Counties.  Go to: http://echildcareservices.com/beta_site_016.htm