Health and Wellness

Health and Safety Handbook

Appendix F-2 School Entrance Health Form

School Nurse

• Immunization Requirements

o Minimum Immunization Requirements
o Letter to Parents re Immunizations

• HPV Information

o HPV Letter
o Information letter from the Virginia Department of Health

• Scoliosis Information

• Required Health Form Letters to New Students

New Kindergarten

New Student 1-5

New 6th Grade Boy

New 6th grade Girl

New Middle School

• Required Health Form Letters to Current Students

Letter to parents of rising sixth grade boys

Letter to parents of rising sixth grade girls

Emergency care form and confidential health information letter

End of the year email re scoliosis, dental forms, etc.

HEALTH FORMS

• Commonwealth of Virginia School Entrance Health Form (MCH 213)

• Confidential History Update

• Permission for Emergency Care

• Medication Authorization Form

• Asthma Action Plan

• Inhaler Authorization Form

• Allergy Action Plan

• Epinephrine Authorization Form

Antihistamine Authorization Form

• Diabetes Medical Management Plan

• Diabetes Reference Emergency Plan Hypo and Hyperglycemia

• Dental Form

NUTRITION/ALLERGY

• Lunch Menu

• Nutrition/ Allergy Information

• Policy for Class Parties and Snacks

SPORTS / ACTIVITIES

• CYO

• SYC

• Fairfax County Parks and Recreation

• Fitness Calendar

WELLNESS

• Wellness Update

• Educational Information