Information from the School Nurse

A message from the school nurse:

Hello and welcome to Mount,

We are looking forward to welcoming your child to Mount in the fall. Rhode Island Department of Health requires all students to be up to date with immunizations and physical exams. The Mount Saint Charles Physical Exam Form must be completed by your child's physician and returned to the school nurse prior to the start of the school year. PLEASE NOTE THAT THIS PHYSICAL FORM IS NOT INTERCHANGEABLE WITH THE SPORTS PHYSICAL FORM which is designed for the athlete meeting Rhode Island Interscholastic League requirements.

All immunizations must be completed prior to the start of school.

Students entering grade 7 and above must meet the following requirements:

• HPV: 1 dose required for grade 7 entry. This is mandated in the State of Rhode Island. If you elect not to get this vaccine for religious reasons, please complete the Religious Immunization Exemption Certificate.
• Meningitis vaccine
• 2nd varicella vaccine or documentation that your child has had the chickenpox
• Physical exam (dated after 6/2020)

The physical examination and the immunizations can be on the papers that the doctor gives you and does not need to be on the State of RI School Physical form specifically.

The following must also be submitted from the parent portal (when you log into the portal at www.mtstcharles.org and click on myMSC, you will see a yellow banner at the top of the page. Click on the banner to be directed to the forms):

1. Medication Authorization Form. This provides parent permission to have medication delivered at school. It pertains to a small group of over-the-counter medicines which may be administered during the school day.
2. Resident Student Medication Authorization Form. This is specific for dorm residents and authorizes certain medications to be delivered in the residence hall.
3. School Health Information Form. This form lists documentation requirements pertaining to immunizations and physical exams and provides the schedule of state-mandated health screenings.
4. Student Health Information Form. This important form allows parents to list medical history, allergies, and other health concerns. Information is provided here regarding dismissals due to illness and emergencies.

The following forms may be delivered in person, mailed or faxed to the health office at (401) 200-8951.

1. Medication Order Form. This is to be filled out by a licensed prescriber and has a second page for written parental permission. This form is necessary for any prescription medication or over-the-counter medication which is not authorized on the portal “Medication Authorization” form.
2. State of Rhode Island Physical Form. All incoming students as well as all students in grades 7 and 12 must submit this form, completed by his/her physician.
3. Religious Immunization Exemption Certificate. This form, when completed, may be presented in lieu of a complete immunization record, if receiving such immunizations is contrary to your religious beliefs.
4. Allergy Action Plan Form. Students with life-threatening allergies who carry or have the health office keep epinephrine, are asked to provide an Allergy Action Plan. Many prescribers have their own forms, which are acceptable; if not you may submit this form.

If I can be of any further assistance, please do not hesitate to contact me at jerrierk@mtstcharles.org.

Kerry Jerrier, RN

School Nurse

Questions? Please contact Mrs. Jerrier at jerrierk@mtstcharles.org