Private Physician Physical Form

According to PA School Code, a physical exam is required for all students enrolled in K or 1, 6 & 11 grades. The exam can be done at school by the school physician free of charge or by your private physician at your own expense.  Please have your private physician complete this form if you choose not to have a school physical exam for your child.

Private Dentist Examination Form

According to PA School Code, a dental exam is required for all students enrolled in K or 1, 3 & 7 grades. The exam can be done at school free of charge by the school dentist or by your private dentist at your own expense.  Please have your private dentist complete this form if you choose not to have a school dental exam for your child.

Health History 

Communicate with your school nurse, your child's health conditions and concerns that may impact his or her learning, health, safety and well-being at school.
 

Communicate with your school nurse, the treatment necessary for good management of your child's asthma and what to do if they have an asthma attack at school.

Diabetic Individual Health Plan

Communicate with your school nurse, the treatment necessary for good management of the diabetic student and what to do if they have problems with their diabetes at school.

Seizure Individual Health Plan

Communicate with your school nurse, the treatment necessary for your child with a seizure disorder and what to do if your child has a seizure at school.
 
Communicate with your school nurse, the treatment necessary for your child with a serious bee, food, or other allergy in the case of an exposure or reaction at school.
 
Medication Parent/Physician Consent
  
This form must  be completed to store, dispense, supervise or administer any medication during school hours. Physician and parent/guardian signatures are required for all prescription medication. For non-prescription medication only parent/guardian signature is required.