Health Forms

Discretionary Medication Form-Parent or guardian must complete for over-the-counter medications that may be given to your student at school when deemed necessary by the nurse. The medications are limited to Tylenol, Tums, cough drops, Benadryl, and Ibuprofen. Included in this form is space for you to list your child’s allergies, health concerns, and current medications. This form is only valid for the current school year and must be done again each fall. Please have your student deliver it directly to the Nurse’s Health Suite in person, or you can send digitally via email. 

Prescription Medication Form-Parent and prescribing provider to complete when a student needs to take a prescription medication during the school day hours. This MUST be completed and returned by the parent/guardian to the school nurse along with the medication in a labeled prescription bottle. Completed forms can be hand delivered with medication or submitted digitally via email or faxed by the provider. 

Any student with needs pertaining to asthma while in school, should also havethe form below completed by their provider, to be included along with their inhaler, nebulizer, or other treatments/supplies. 

Medical Procedure Forms- These forms are required to be completed by the prescribing provider and signed by parent/guardian medical procedures completed by the nurse while your student is at school. Please give the nurse a call if this is something your student needs to complete a full health intake for the related condition. This can be submitted electronically via email or fax, or hand delivered with supplies..

Sports Physicals Forms—If you want to play a sport at Ridgely Middle, you must have a completed sports physical every 14 months. You can get it with your primary care doctor, or at an urgent care or minute clinic if you prefer (copays/fees may apply per your insurance).