Health Forms Requiring Signatures

To comply with DC Health regulations, incoming families must submit the following health forms to Sheridan by July 31st, 2021.

Three of the forms are required for ALL students; the remainder are situation-specific, depending on the needs of your child. Please read the descriptions carefully to determine which forms you will need to submit.

Each of the forms requires a signature from a health provider.


Steps to take

  • Download the required forms and any supplemental forms that apply to your child
  • Take the forms to the appropriate medical provider for completion and signature
  • Upload the forms into Magnus Health when you receive instructions for your account

If you have any questions about any of the forms or the process, please don’t hesitate to contact School Nurse Caroline Gates at nurse@sheridanschool.org.


Forms Required for ALL Sheridan Students

DC Universal Health Certificate: Required for all students, this form provides the school and city with basic information about your child’s health as well as their immunization record.

DC Oral Health Assessment: This form provides the school and city with basic information about yoru child’s oral health and is required for all students.

Permission to Administer OTC Medication at the School’s Discretion: Through this form, required for all students, you will indicate whether you permit the Sheridan School nurse, their designate or authorized Sheridan or
Camp Horizons (Mountain Campus) staff members to administer any over-the-counter medications to your child at their discretion.


Supplemental Forms for Specific Conditions/Circumstances

Prescribed Prescription or OTC Medication Authorization Form: If your child will routinely take specific medication during school hours that has been prescribed by a medical professional, whether prescription or over-the-counter, your  child’s medical provider must complete this form.

Self Administration of Emergency Medication: Students who require an epinephrine injector, rescue inhaler and/or insulin may self-administer the associated medications if they meet certain conditions and a medical provider and a parent have completed, signed and submitted this form.

Asthma Action Plan Form: Students with asthma who will need a rescue inhaler at school must submit this form after it has been completed and signed by their medical provider.

Allergy Action Plan Form: Students with food or other allergies who require an epinephrine injector at school must submit this form after it has been completed and signed by their medical provider.

Diabetes Action Plan Form: Students with diabetes who will require insulin monitoring or administration at school must submit this form after it has been completed and signed by their medical provider. 

Seizure Action Plan Form: Students at risk of seizures at school must submit this form after it has been completed and signed by their medical provider. 

HPV Opt-Out Form: Students who are age-eligible for the HPV vaccine and opt not to receive it must submit this form after it has been completed and signed by their medical provider. 

 


Signed forms are due to Sheridan by July 31, 2021.