Forms

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Forms

Completed forms should be returned to an administrative staff member.

 

Commonwealth of Virginia School Entrance Health Form (pdf)

This form should be completed each time there is an update to the child’s vaccination record.       

 

OTC Skin Product Authorization Form (pdf)

Use this form to authorize bug spray, sunscreen, lotion, anti-itch creams, lip balm and any other over-the-counter topical skin product that your child needs. You can specify any length of time of authorization up to 6 months; fill a new form out at that time if you want to continue authorization. Double check the labels or container stamps on OTC skin products to ensure they have not expired.

 

Prescription/Nonprescription Medication Authorization Form (pdf)

Use this form to authorize administration of medications such as ibuprofen (Advil, Motrin) or acetaminophen (Tylenol), or prescription medications. Authorizations are effective for 10 days, and can be extended up to 6 months with a physician’s signature. Nebulizer treatments and EpiPen/EpiPen Jr. require your doctor’s signature regardless. Double check labels or container stamps on medications to ensure they have not expired.