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Summit Hall E.S. Health Room Contacts:
Summit Hall E.S. Health Room Contacts:
Lori Altman, RN, BSN, School Community Health Nurse (SCHN) - Lori_A_Altman@mcpsmd.org
Sara Zavala , SHRT, School Health Room Technician - Sara_Zavala @mcpsmd.org
Katterine Rodriguez , SHRT, School Health Room Technician - Katherine_V_Rodriguez@mcpsmd.org
Phone: 301-284-4130
Fax: 301-840-1246
Hours: 8:40 AM-3:25PM
Health Room Staff are available to help complete forms.
Click here for When to Keep Your Child Home (English/Spanish)
MCPS Health-Related Forms:
MCPS Health-Related Forms:
Click here for MCPS Form 525-14: Emergency Care for the Management of a Student with a Diagnosis of Anaphylaxis
Haga clic aquí para obtener el formulario MCPS 525-14: Atención de Emergencia para el Tratamiento de un Estudiante con Diagnóstico de Anafilaxia
Click here for MCPS Form 525-13: Authorization to Administer Prescribed Medication
Haga clic aquí para obtener el formulario MCPS 525-13: Autorización para Administrar Medicamentos Recetados
Click here for MCPS Form 525-12: Authorization to Provide Medically Prescribed Treatment
Haga clic aquí para obtener el formulario MCPS 525-12: Autorización para Proporcionar Tratamiento Prescrito Médicamente
Click here for MCPS Form SR-6: Student Record Card 6 - Health Assessment (NOTE: this is NOT the form required for Athletics)
Haga clic aquí para obtener el formulario SR-6 de MCPS: Tarjeta de Registro Estudiantil 6 - Evaluación de Halud (NOTA: este NO es el formulario requerido para deportes)
Click here for MCPS Form SR-8: Pre-Participation Physical Evaluation for Athletics
Haga clic aquí para obtener el formulario SR-8 de MCPS: Evaluación Física Previa a la Participación en Deportes
Required Forms for Students with Asthma
Formularios requeridos para estudiantes con asma
Click here for MCDHHS 3213A: Asthma Action Plan
Haga clic aquí para MCDHHS 3213A: Plan de acción contra el asma)
Click here for MCDHHS 3213C: School Asthma Management Plan - English
Haga clic aquí para MCDHHS 3213C: Plan escolar de manejo del asma - Español)
Minimum Vaccine Requirements
SY2026-2027
Tetanus, Diphtheria, Pertussis el tétanos, la difteria y la tos ferina (Tdap/DTap/Td): At least 3 or 4 Total, including 1 Tdap
Polio la poliomielitis (IPV): At least 3
Hepatitis B: At least 3
Measles, Mumps Rubella el sarampión, las paperas y la rubéola (MMR): 2
Varicella la varicela (VAR): 2
Meningococcal C contra el meningococo (MCV): 1
See here for details
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