Health Forms

To comply with DC Health regulations, all appropriate health forms must be uploaded to your Sheridan Central account by:

Current students: Monday, August 1, 2022

Incoming students: Monday, August 8, 2022

Questions about the forms or process? Contact School Nurse Caroline Gates (nurse@sheridanschool.org).

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Required Health Forms
(Each form requires a signature from your child’s health provider.)

• DC Universal Health Certificate
  Provides basic information about your child’s health as well as their immunization record.
• DC Oral Health Assessment
  Provides basic information about your child’s oral health.
• Permission to Administer OTC Medication at the School’s Discretion
  Permits the Sheridan School nurse, their designatee, and/or authorized Sheridan or Camp Horizons (Mountain Campus) staff to administer any over-the-counter medications to your child if needed.

Supplemental Health Forms: Specific Conditions/Circumstances
(Forms must be completed by your child’s health provider.)

• Prescribed Prescription or OTC Medication Authorization Form
  Permits the Sheridan School nurse, their designatee, and/or authorized Sheridan or Camp Horizons (Mountain Campus) staff to administer routine medically prescribed medication during school hours and/or school-related trips.
• Self Administration of Emergency Medication
  For students who require an epinephrine injector, rescue inhaler and/or insulin and may self-administer the associated medications.
  
• Asthma Action Plan Form
  For students who need a rescue inhaler at school.
• Allergy Action Plan Form
  For students with food or other allergies and require an epinephrine injector at school.
• Diabetes Action Plan Form
  For students with diabetes who require insulin monitoring or administration at school.
• Seizure Action Plan Form
  For students at risk of seizures.
• HPV Opt-Out Form
  For students who are age-eligible for the HPV vaccine and opt out to receive it.