Health and Safety

PLEASE INFORM THE SCHOOL NURSE
If your child is currently taking medication, has special medical conditions such as: diabetes, asthma, ADHD, or has life threatening food allergies, or if your child has been seen by a medical provider or ER physician for injury or illness.

NURSE'S CLINIC
Mrs. Danaher, RN at 703-549-1646, ext. 4947 or email: clinic@smsva.org

General:

School Health Entrance - All Pre K, Kindergarten, 3rd Grade, 7th Grade & All New Families must complete
Confidential Health History Update - All Families must complete

Medications:

Medication Authorization Form - Complete only if your student requires medication

Allergies:

Allergy Action Plan - Required only if your student has allergies
EpiPen and Twin Authorization Plan - Required only if your student needs an EpiPen or Twin
Antihistamine Authorization - Required only if your student uses an antihistamine

Asthma:

Asthma Action Plan - Required only if your student needs an allergy action plan
Inhaler Authorization Form - Required only if your student uses an inhaler

Diabetes:

Diabetes Medical Management Plan/Hypoglycemic - Required only if your student has diabetes
Diabetes Management Plan - Required only if your student has diabetes