Student Health Services

Health Forms for Registration:

Commonwealth of Virginia School Entrance Health Form - English

Commonwealth of Virginia School Entrance Health Form - Fillable 

Commonwealth of Virginia School Entrance Health Form - Spanish

Commonwealth of Virginia School Entrance Health Form -  Arabic, Dari, Chinese, Korean, Pashto, Russian, Tagalong, Ukranian

Tuberculosis Screening

Religious Exemption for Immunization

Health Forms for Medical Needs:

Authorizaton for Medication Administration [PDF]

Authorization for Medication Administration - Spanish [PDF]

Medical Exemption Request [DOCX]

Physicians Order for Adrenal Insufficiency [PDF]

Physicians Order for Adrenal Insufficiency - Spanish

Physicians Order for Allergy Action Plan

Physicians Order for Allergy Action Plan - Spanish

Physicians Order for Asthma Action Plan

Physicians Order for Asthma Action Plan - Spanish

Physicians Order for a Concussion

Physician Order for Diabetes - Virginia Diabetes Medical Management Plan

Physicians Order for Medical Procedure

Physicians Order for Seizure Action Plan

Physicians Order for Seizure Action Plan - Spanish

Physicians Order for Tube Feeding

Physicians Allowable Activities Checklist