Health Forms
Medication Administration Consent and Licensed Prescriber Order
All medications — including over-the-counter items such as cough drops — require a physician's order.
Physical Examination Form
The Pennsylvania Public School Code Section 1402. Health Services (e) requires that students upon original entry, sixth grade and 11th grade be given a "comprehensive appraisal" of their health. The physical is to be completed within 4 months prior to the start of the school year.
Dental Form
This form may be used by both the mandated and dental hygiene programs as the dental portion of a student's comprehensive health record.
Immunization Exemption Form
Pennsylvania Code §23.84 Exemption from Immunization