Student – COVID Positive Case Notification Form




Student health significantly influences one’s ability to participate fully in the School community. Our school nursing staff strives to enhance each student’s well being by ensuring that each student has a complete medical history including up-to-date emergency contact forms. We believe that good student health begins with prevention and we regularly screen students for vision and hearing services in accordance with Pennsylvania state regulations.

We provide care to students with chronic illnesses and minor injuries. We’re your partners in supporting your child’s health.

Student Health Forms

School Health Forms are an important part of providing a safe and supportive school experience for your children. Please send your child’s health information at the start of each school year to allow us time to address health concerns and put plans in place for your child’s health.

The following forms are required annually in each of the following grades:

All Students:

Medical Health Update Form

Physicals in K, 6th and 9th

Physical Exam Form

Kindergarten, 3rd and  7th grade and need dental exams:

Dental Form


PDF of Requirements

*Exemption from immunization –
Written documentation must be submitted to the school –  Immunization Exemption Form

(a) Medical exemption. Children need not be immunized if a physician or the physician’s designee provides a written statement that immunization may be detrimental to the health of the child. When the physician determines that immunization is no longer detrimental to the health of the child, the child shall be immunized according to this subchapter.

(b) Religious exemption. Children need not be immunized if the parent, guardian or emancipated child objects in writing to the immunization on religious grounds or on the basis of a strong moral or ethical conviction similar to a religious belief.

Student Medication Policy: Prescription and non-prescription medications can be administered during the school day by the school nurse with the following regulations: The medication must be in the original container supplied by the physician, practitioners, or pharmacist and delivered at the beginning of the school day to the school nurse or principal.  Controlled substances (Ritalin, etc.) must be hand delivered by a parent/guardian
Non-prescription drugs require a note from a physician including prescribing information.   A parent/guardian can come to school to administer medications but must reportto the school nurse or principal before dispensing the medication to the student.  We strongly recommend that children not carry medications on their person, intheir lunch pail or school bag. In the event that the student needs to carry theirown medication (e.g. the use of inhalers), the nurse may, with the agreement ofthe principal physician, and parent, permit students to keep their ownmedications, if they can safely do so.

Request for Administration of Medication

Over the Counter Medication Form (Tylenol etc)

It is important to know the communicable diseases that can affect your children, their symptoms, and how they are transmitted, so that you can take the best measures to prevent/treat them.  Please see the Philadelphia Department of Public Health Chart.

School Nurses – Lawncrest

Amy Stine

215-398-7960 x2009


Janet Sokol

215-398-7960 x2119


School Nurses – Tacony

Alexis Rios

267-526-0005 x2223


Lorraine Donaghy

267-526-0005 x2306