Health Information and Forms

REQUIRED MEDICAL FORMS FOR SCHOOL ENTRY
Below you will find the four forms required by The School District of Philadelphia. Information about theses forms can be found in the articles below.

You will also find an immunization calendar. If you have any questions or concerns please contact the school at 215-400-3020.

S865 – to be completed by parent to inform nurse of any medical condition/medication use.
MED-1– to be completed by students Doctor for medication use during school – including over the counter medication.
MED-1 (Asthma)– to be completed by students Doctor for Asthma rescue inhalers.
MEH-1-Report of physical examination, to be completed by students Doctor.
MEH-155– Dental Examination Form
23-24 School Immunization Requirements

Physical Examinations (MEH-1) are required when entering Kindergarten or 1st Grades, 6th Grade, and 11th Grade.

Dental Examinations (MEH-155) are required when entering Kindergarten or 1st Grades, 3rd Grade, and 7th Grade.

If your child requires medication in school, please contact the nurse or send your child to the health room for the proper form (MED-1) or (MED-1 (Asthma) to be completed by your child’s doctor.  For everyone’s safety, student’s ARE NOT permitted to bring any medications into school without written permission from the parent, doctor, and the approval of the school nurse.  This includes asthma inhalers and over the counter medications.