• Please have your doctor complete this form, required for Kindergarten, 6th and 11th grades.

  • All medications to be administered at school require prescriber and parental consent.

Annual Health History Update

  • Annual Health History Update 

    Parents/guardians are requested to complete the Health History Update form each year in September.  Please note:  This is a "fillable" form. To use it properly, please open it, save it to your device (computer), edit it, re-save it, and then send it to either via email to your child's school nurse, fax (215-233-6001), or upload to your child's Health Portal.

  • Please have your doctor complete this form, required for Kindergarten, 3rd and 7th grades.