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.

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

1. General Health Treatment Plans

Authorization for Medication Administration Form
(For over the counter medications OR prescription medications NOT covered by an Action Plan)

Autorización para administración de medicamentos

Virginia Asthma Action Plan
Manejo del asma en el entorno escolar
Updated Virginia Diabetes Medical Management Plan (DMMP)
Seizure Action Plan
Cancer Care Plan

2. Severe Allergy Health Treatment Plans

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

Manejo de reacciones alérgicas en la escuela/centro de cuidado de niños en edad escolar: administración de la autoinyección de epinefrina

3. Procedure Treatment Plans 

Clean Intermittent Catheterization Treatment Plan
Tube Feeding Treatment Plan
Medical Procedure Treatment Plan

4. Release of Medical Information (allows nurse to contact the physician directly to clarify procedure orders if needed)

Release of Medical Information Authorization

If you have questions, please contact the school nurse or visit the immunization requirements webpage.

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. 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 prior to beginning to attend. 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

Formulario De Salud Para El Ingreso Escolar

Commonwealth of Virginia Minimum Immunization Requirements

Religious Exemption Form

If you need assistance or resources regarding school entrance physicals or immunizations, please contact the school nurse, Rachel Litton, at [email protected].