Health Forms

What forms are required?

All NPS families must upload current School and Health Forms to Magnus Health.  In early July, new families receive instructions and login information for Magnus Health. Forms for the 2024-2025 school year are due Wednesday, July 24, 2024. 

Here is a checklist of the forms that will require a signature by a licensed primary care provider that you can print and take to your appointment:

Required for All Students:

• DC Universal Health Certificate
• DC Immunization Record  (Maryland immunization records are also accepted)
• DC Oral Health Assessment Form  To be completed by the child's dentist within 365 days of the start of school.
   

If Applicable:

• Prescription Medication Authorization Form

To be completed by the child's parent AND licensed primary care provider for EACH prescription medication to be administered at school.

If your child will be taking prescription medication during the school day, a Prescription Medication Authorization form signed by a licensed primary care provider must be provided. See Parent Handbook for additional requirements for prescription medication, or contact the school nurse for guidance.

• Over the Counter Medication Authorization Form

To be completed by the child's parent AND licensed primary care provider.

If you would like over-the-counter medications to be made available to your child during the school day, please provide an Over The Counter Medication form signed by a licensed primary care provider. These medications are school-provided, except any additional medications specified in the “other” column.
 

• Food Allergy & Anaphylaxis Emergency Care Plan

To be completed by the child's parent and licensed primary care provider.

• Asthma Action Plan

To be completed by the child's parent and licensed primary care provider.

• Seizure Action Plan

To be completed by the child's parent and licensed primary care provider.

• HPV Vaccination Opt-Out Form (Ages 11+)

Boys and girls age 11 or older or entering 6th grade are required to have the HPV vaccination series. If do not wish for your child to start the HPV vaccination series recommended for this age group, please complete the HPV Opt-Out waiver. Evidence of starting the vaccination series OR a parent-signed waiver is required by the DC Department of Health.

 

Please also contact the School Nurses Christina Goelzer and Ali Hauspurg at nurse@nps-dc.org or call 202-552-4294 to discuss your child's care while at school.

New students for the 2023-2024 school year will be able to access our Student Health Information System, Magnus Health, in mid-July.  Parents will receive an email with details on how to access Magnus and upload their child's forms.

If you are planning a doctor's visit for your child's annual check up and would like to get these forms out of the way, we encourage you to do so. The required forms are linked below; those that require a doctor's signature are noted below.

Please retain a copy of any completed forms and upload them when prompted to do so in the summer.

All forms are due by July 26, 2023.

Questions? Contact School Nurses, Gina Polidoro and Christina Goelzer. 

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