Clinic Information

All students must meet the medical requirements before attending school.

ALL STUDENTS must have a “Confidential Health History Update” form on file.
* This form must be completed and returned to the nurse before the first day of school each year.
* Click Here for the form.

ALL ECC, Kindergarten, and new students are required to complete:
*  Prior to the first day of school, all ECC, kindergarten and first year students in grades 1-8 will provide a physical and immunization record to the school.
*  Physicals must be completed within 365 days of the start of school.
*  All records must include: students name, date of birth and be signed or stamped by their medical provider.
*  Immunization records may be signed by a nurse from the providers office.
*  Physical and immunization records must be an original, photocopy or scanned version. No photos will be accepted. Click Here for the Virginia School Entrance Health Form.

Students with Allergies
*  New forms are required each school year. This form should be used for any student with allergies requiring epinephrine and an antihistamine. Click Here for the form.
Any student with an allergy listed by the medical provider must have an anaphylaxis action plan. The only exception is when the medical provider checks “none” under the response required to an allergic reaction.
Prior to the first day of school, parents must hand all medications listed on the anaphylaxis plan directly to the nurse. Medications will not be accepted without the appropriate forms.
*  If the parent chooses not to provide the medications, they must submit a signed diocesan release form relieving the school of any liability.

Students with Asthma, Diabetes or Seizures:
Any student who has asthma, diabetes or seizures must have an action plan filled out and signed by their medical provider on the appropriate diocesan form.
Prior to the first day of school, parents must hand all medications listed on the plan directly to the nurse. Medications will not be accepted without the appropriate forms.
*  Medications will not be accepted without the appropriate forms.
* Students requiring an inhaler: Click Here for the required form that must be signed and turned in directly to the nurse before the first day of school. Please note: students in 6th thru 8th grade may carry their inhaler if their medical provider checks the box on the form and fills out the “self carry inhaler agreement“. The student must also have a second inhaler available in the clinic.
Diabetic Medical Management Plan: Click Here for the form
Seizure Plan: Click Here for the form

Over-the-counter and Prescription Medications
Over the counter and prescription medications must be provided by the parent and handed directly to the nurse..
* Over the counter medications may be given no more than 3 consecutive days before a Licensed Health Care Provider (LHCP) signs the form.
* All prescription medications must have the form filled out by a LHCP. Follow instructions on page 2 of the form.
* The school will only dispense medications provided by the parent with the appropriate form. (Click Here)
Reminder, students are not allowed to carry medications while on school property.

Vaccination Information
The Virginia Department of Health requires that all students receive a Tdap (Tetanus, Diphtheria, and Pertussis) booster and the meningococcal conjugate vaccines prior to entering the 7th grade.
Effective July 1, 2021, a complete series of 2 doses of HPV vaccine is required. The first dose shall be administered before the child enters the 7th grade. After reviewing educational materials approved by the Board of Health, the parent or guardian, at the parent’s or guardian’s sole discretion, may elect for the child not to receive the HPV vaccine.

Health Screenings
* All students in third & seventh grade will receive a vision and hearing screening in the fall.
Parents of any student noted to have an abnormality in this basic screening will be notified.
* Parents of students in 5th thru 8th grade, it is recommended that your student be checked for scoliosis, curvature of the spine, once a year. Click here for instructions.

Please contact the school nurse for any questions, concerns or assistance: (703) 998-4170

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