Health Services Forms & Information
Medical Plan of Care for School Food Services
Medical Plan of Care for School Food Service (Revised August 2017) (1).pdf
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.
Permission Form for Prescribed Medication.pdf
PA DOH Dental Exam Form
PA DOH Dental Examination Form.pdf
PA DOH Physical Exam Form
PA DOH Physical Examination Form.pdf
PIAA Sports Physical Form
PIAA Sports Physical Form.pdf
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).