What we need from you to ensure a healthy and safe day for your student:

  A Completely and accurately filled out Emergency Care Card.

       Note: We MAY NOT release your student to anyone who is not on the ECC.

  Please cooperate when you are asked to come in to sign for your child. This is a saety measure 
       to protect you and your student.

  Please contact me at 703-481-4072 if you have any questions or if your child has a health 
       condition that impacts his/her school day and would need a health plan.

  If your Student needs medications, we are required to stricly follow FCPS regulation 2102. 
      (For more info see the opening packet and the FCPS website www.fcps.edu)  This includes:

       Appropriate Forms completely and correctly filled out and on file in the clinic. (center) 
            Forms may be gotten at the clinic or downloaded at www.fcps.edu/forms

       Medication in a appropriately labeled orginal container
       
       An adult must carry the medication in the clinic.


Authorization for Medication - http://www.fcps.edu/DIT/forms/se63.pdf

Authorization for Use of Inhaler - http://www.fcps.edu/DIT/forms/se65.pdf

Emergency Care Information for Students - http://www.fcps.edu/DIT/forms/se3.pdf

Emergency Care Prevention of Anaphylaxis Release and Indemnification Agreement for Epinephrine - http://www.fcps.edu/DIT/forms/se64.pdf

School Entrance Health Form - http://www.fcps.edu/DIT/forms/mch213.pdf

Student Health Information - http://www.fcps.edu/DIT/forms/se71.pdf