School Nurse

Please take a moment to read the Letter to Families and ensure you have all necessary forms (below) on file.

Forms for Everyone

All students must have the following forms on file.

Virginia School Health Form

Permission for Emergency Care

Confidential Health History

Allergy Forms

Severe Allergy – Anaphylaxis Action Plan and Treatment Authorization

Epipen Authorization Form

Asthma Forms

Asthma Action Plan

Inhaler Administration Form

Diabetes Forms

Diabetes Medical Management Plan Forms

Medication Forms

Medication Authorization Form (not EpiPen)


Student Form
Staff Form