2013-2014 Health Forms

All new students must have an immunization certificate on file before the first day of school. Students who receive immunizations within the last year, must provide an updated copy of his/her immunization record. 

PLEASE NOTE: All athlete's health forms must be complete and on file prior to the beginning of pre-season practice. Students WILL NOT be allowed to participate in pre-season practice unless all required forms have been submitted. Forms are due on Monday, July 15, 2013.

2013-2014 PS I, PS II, Pre-K Forms

 PSI-Pre-K Physical Form 

Immunization Certificate

2013-2014 Vaccine Requirements

2013-2014 Emergency Contact Information
 

2013-2014 K-3 Forms

Record of Physical Examination Form

Immunization Certificate

Lead Testing Form 

Emergency Contact 

Supplemental Health Forms:

Asthma Action Plan Packet (2 Forms)

Food Allergy Action Plan (4 Forms)

Insect Sting Action Plan (4 Forms)

Parents of diabetic students, please contact:

Shelley Keneally, PVC School Nurse
skeneally@saes.org 

Emergency Care for the Management of Anaphylaxis

Prescription and Non-Prescription Medication Order form

Intermediate, Middle, and Upper School Health Forms  

Record of Physical Examination Form 2013-2014 (Six Forms in total) 

Mandatory for New Students: 

Immunization Certificate

Vaccine Requirement

Supplemental Health Forms:

Asthma Action Plan Packet (2 Forms)

Food Allergy Action Plan (4 Forms)

Insect Sting Action Plan (4 Forms)

Parents of diabetic students, please contact:

Diane Stewart, Potomac Campus School Nurse
dstewart@saes.org 

Emergency Care for the Management of Anaphylaxis

Prescription and Non-Prescription Medication Order form