St. Martin’s Parents:

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As we prepare for the 2021-2022 school year, I am sending information regarding health forms. Some are required while others are optional.

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The following documentation is required for all students:

All students must have a copy of their updated immunization record on file per state regulations. For the 2021-2022 school year, there are new requirements:

• All K-7 students must have had two varicella vaccinations.

• All 7th and 8th graders must have had one Tdap vaccination and one meningococcal (MCV4) vaccination.

 

Please see “Vaccine Requirements for Children … ” form for reference. The form is attached.

• Emergency Contact Form needs to be completed every school year.

• Health Assessment I needs to be completed by the student’s parent or guardian.

• Health Assessment II needs to be completed only by a physician or nurse practitioner.

• Blood Lead Testing Certificate is needed for all Pre-K, Kindergarten and 1st grade students.

 

The following forms are optional:

• Permission to Dispense Over-the-Counter Medications o This form grants us permission to dispense medications that we keep a stock of for your student. This form must be signed by a parent/guradian and a healthcare provider. No over-the-counter medication will be administered without this form completed. This form needs to be completed every school year.​

• School Medication Administration Authorization Form o This form is for medication that needs to be administered daily or on an as-needed basis (inhalers or EpiPens) at school. This form is to be completed fully and signed by a parent/guardian and a healthcare provider. A new form must be completed at the beginning of the school year for each medication and each time there is a change in dosage or time of administration.​

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Please reach out to me with any questions regarding health forms. Have a fun and safe summer!

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Sincerely,

Ashley Nester, RN, BSN

St. Martin’s School Nurse

nurse@stmartinsonline.org