Health Services Forms & Information

• Diabetes Type 1 Fact Sheet

• Diabetes Type 1 Fact Sheet (Spanish)

• Medical Plan of Care for School Food Services

• PA DOH Dental Exam Form

• PA DOH Physical Exam Form

• Permission Form for Prescribed Medication

  • This form is needed for Medication Administration (prescription and over the counter) during school hours. Please have a medical provider complete this document and return it to the school nurse.

• PIAA Sports Physical Form

• Sunscreen

• Tick Removal

• Tick Removal (Spanish)

Any change in a student's academic schedule for a health related condition must be accompanied by a written excuse or an order by a physician, chiropractor, physician assistant or nurse practitioner (as defined by the US Department of Labor).