School Entrance Requirements:

All preschool, kindergarten, and new to the county students are required to submit a Virginia School Entrance Health (Physical) Form and immunization record completed by a licensed provider prior to the first day of school. School entrance physicals must be completed within one year of entry. This means that for the 2021-2022 school year, physicals must be completed between August 23, 2020 and August 23, 2021. Students who were previously enrolled in a PWCS preschool program, through Headstart or child find, are also required to submit an updated physical that falls within the dates above. This is in accordance with the Virginia Department of Education school entrance requirements and is a requirement for both in person and virtual schooling within the county. These records must be provided to the school nurse by Friday, August 20, 2021 by 4:00 pm in order to begin classes on the first day of school, Monday, August 23, 2021. Blank copies of the School Entrance Health form (and other related forms) that can be provided to your child's health care provider are linked below. 

Commonwealth of Virginia School Entrance Health Form

Commonwealth of Virginia Minimum Immunization Requirements

**Effective July 1,  2021**  A minimum of 2 doses of Hepatitis A vaccine are required for school entry. The first dose should be administered at age 12 months or older.

Religious Exemption Form

If you need assistance or resources regarding school entrance physicals or immunizations, please contact the school nurse, Ashley Gardner, at 


Health Treatment Plans:

Health treatment plans should be completed by the student's physician and delivered to the nurse at the start of each school year. Any accompanying medications must be delivered by the parent in original, unopened packaging with prescription label intact (when applicable) and unexpired. Students are not permitted to transport medications to and from school.

Virginia Asthma Action Plan

Updated Virginia Diabetes Medical Management Plan (DMMP)

Seizure Action Plan

Cancer Care Plan

Authorization for Medication Administration Form

Clean Intermittent Catheterization Treatment Plan

Tube Feeding Treatment Plan

Medical Procedure Treatment Plan

Food Allergy & Anaphylaxis Emergency Care Plan
Request for Administration of Medication for Allergic Reactions
Student Epinephrine Self-Carry Authorization
Severe Allergy Individual Health Care Plan
Student Allergy History Form

Authorization to Implement Health Treatment Plans
(Must accompany ALL PWCS Health Treatment Plans)

Release of Medical Information Authorization