school nurse  

Phone:  703-445-0236   Fax:  703-445-0301   Email:  gina.votovich@jpthegreat.org

Mrs. Gina Votovich, BSN, RNSchool Nurse

Immunization Requirements, Action Plans, and other necessary forms can be found below. 

Just keep scrolling! 🐺

 

Monday-Friday 7:30am-3:00pm

Closed Summer, Christmas, and Spring breaks, school holidays and professional development days.

Welcome (back) to the WOLF PACK new and returning JP Families!! 

Below you will find information about Immunizations, Action Plans and Physicals......


Immunization records can be sent to:

  gina.votovich@jpthegreat.org   with 2024 Immunizations in the subject line.


-Appropriately completed copies of the immunization record must be signed or stamped by a physician or his designee, registered nurse, or an official of a local health department indicating the dates of administration including month, day, and year of the required vaccines. 

OR

-A printout of an immunization record from the provider's electronic health record can be accepted without a signature or stamp. 

 

John Paul students are required to provide documentary proof of adequate age appropriate immunization for attendance.

  

Immunizations with the prescribed number of doses are required for attendance at a public or private elementary, middle or secondary school, child care center, nursery school, family day care home or developmental center. 

  

DO NOT rely on your student's previous school to provide copies of immunization records. 

Documentary proof of adequate age appropriate immunization MUST be received by the first day of school or the student will be sent home.  

 

Questions and concerns can be directed to the school nurse, Mrs. Gina Votovich, BSN, RN via email at gina.votovich@jpthegreat.org or by phone at (703) 445-0236.


For a new student transferring from an out-of-state school, any immunization record, which contains the exact date (month/day/year) of administration of each of the required doses of vaccines, is signed by a physician or his designee or registered nurse, and complies fully with the requirements prescribed under 12VAC5-110-70 shall be acceptable.


Continue scrolling for more information regarding required forms, immunizations requirements, Action Plans and Physicals.  

All forms are printable.  Hard copies are accepted unless otherwise noted.


Thank you so much for your cooperation!!

   Mrs. Gina Votovich

IMMUNIZATION Requirements

   It is a requirement of the Commonwealth of Virginia that student immunizations MUST be received prior to the start of school. Please do not rely on your student’s elementary schools to forward immunizations to high schools.  Students with no record of immunizations received or incomplete immunizations will not be permitted to attend school and will be sent home.  This includes the Commonwealth of Virginia Certificate of Religious Exemption form.


Immunizations Required

DTaP  (Diphtheria, Tetanus and Pertussis):  4 doses, one on or after the 4th birthday.

Polio  (IPV):  4 doses, one on or after the 4th birthday.  (4th dose not necessary if 3 dose was given at 4 years of age or older and at least 6 months from the previous dose.

MMR (Measles, Mumps and Rubella):  2 doses         

Varicella (Chicken Pox):  2 doses 

Hepatitis B:  3 doses    Hepatitis A:  2 doses           

Tdap (Tetanus, Diphtheria and Pertussis):  1 dose

*******MenACWY  (Meningococcal ACWY): FOR SENIORS (12th GRADE) 1 DOSE THROUGH THE 2025-2026 SCHOOL YEAR.

Beginning with the 2026-2027 school year, seniors will be required to have 2 doses prior to the start of their senior year (12th grade).

HPV and COVID vaccines are not required for attendance.

For Parents Claiming Vaccine Exemption:  In the occurrence of an outbreak, potential epidemic or epidemic of a vaccine-preventable disease in your child’s school, the State Health Commissioner may order your child’s exclusion from school, for your child’s own protection, until the danger has passed.



FORMS

ACTION PLANS:

Action Plans along with medications must be hand carried to the nurse a on the first day of school.  

Students requiring an Action Plan and found to be in school without one and/or their medication may be sent home may not return until the required paperwork is completed and medication received by the nurse.

APPENDIX F-4 Food Allergy and Anaphylaxis Care Plan 2023.docx

Anaphylaxis Action Plan

Appendix F-21B Self Carry Epi Agreement_2023.docx

Epi Pen/Auvi-Q Self Carry Form

APPENDIX F-3 Asthma Action Plan with Indemnification 2024.doc

Asthma Action Plan and Indemnification form

Appendix F-21A Self Carry Inhaler Agreement_2023.docx

Inhaler Self Carry Form

Diabetic Action Plan via ADA updated-11-11-22.pdf

Daibetic Action Plan to be used with the Diabetic Reference and Indemnification Form

APPENDIX F-5 Diabetes Reference and Indemnification_2023.doc

Diabetic Reference and Indemnification Form

APPENDIX F-20 Seizure Action Plan 2023.docx

Seizure Action Plan

APPENDIX F-6 Diocese Medication Authorization Form 2023.doc

Diocese Medication Authorization Form

PHYSICAL FORMS:

VHSL Sports Physical (Required for participation in Athletics)

(Click on the name of the physical above to access the form)

Any student interested in trying out for or playing a sport at Saint John Paul the Great MUST have a completed VHSL Sports Physical (all 4 pages) BEFORE they will be permitted to try out.  

Sports physicals cannot be completed any sooner than 1 May of the previous year (for example:  for the 2024-25 school year physicals can be dated no sooner than 1 May 2024) and expire 30 June of the following year.

VHSL forms must be uploaded to the ATS system, no paper copies will be accepted. Instructions will be published in the summer along with information regarding Baseline Concussion Testing.

  Please reach out to the Athletic Department for questions about the VHSL Sports Physical and Concussion Testing.

Please note that the physicals are not interchangeable. 

Life isn't about finding yourself, it's about discovering who God created you to be.

  -Saint Catherine of Siena, Patron Saint of Nurses

A Nurse's Prayer

Almighty God, Divine Healer of all,Grant me, your handmaiden strength and courage in my calling.Give to my heart, compassion and understanding.Give to my hands, skill and endurance.Give to my mind knowledge and wisdom.Especially Dear Lord,Help me always to remember the true purpose of my vocation- That selfless service and dedication to the weak and despairing in the body and spirit.In the name of Jesus      Amen