Click on forms to view and print: 

Student Health Inventory

Asthma Worksheet

Authorization of Medication Form

Authorization For Medical Treatment Of  Severe Allergies


Guidelines for administration of Medication at school

Immunization Schedule

Release Of Liability Regarding Severe Allergies

Ascension Catholic School
Health Services Department

Clinic Phone : 254-1595

Clinic Services: Activities frequently performed during school hours include:

  • Managing Illnesses of students and staff

  • Controlling communicable disease

  • Emergency care and first aid

  • Immunization surveillance

  • Selected screening procedures (Hearing and Vision, Kindergarten and Scoliosis) 7th grade)

  • Networking with community agencies

  • Serve as a source for healthcare information

  • Resources and referral

  • Safety education and injury prevention

School health service personnel and the school administration comply with federal, state and local policies based on policy and legal guidelines. Non-medical persons and trained community volunteers can assist in the school health program.

Conferences are held to interpret medical information and to identify the student's health needs, educational implications and needed adjustments in the school environment.

Students requiring assistive devices (i.e. crutches, casts, wheelchairs, etc.) should contact the school before returning to school so that the necessary arrangements and notations can be made.



Required Student Health Forms: Every parent/guardian is required to fill out a Student Health Inventory form for each child at registration. Any physical disability, including allergies, that might interfere with a student's learning should be made known to the teacher so that proper consideration should be given to the problem. Administration and faculty members should be notified if a child has any serious medical or emotional problem.                                        

Student Health Inventory

Asthma Management: Students with asthma need proper support at school to keep their asthma under control and be fully active. Please take the time to complete the Asthma Worksheet as it pertains to your child. The information you provide us will be kept confidential and on file in the Health Services Department.

Asthma Worksheet

Medications:
The school may administer medication. However, parents must fill out the proper clinic form. Click on the link below to access the school authorization forms. Parents are urged, with the help of the family physician, to plan a schedule of giving medication outside school hours. If this cannot be arranged, please notify the school office. 

School Authorization for dispensing medication form

Communicable Diseases: "Any child who is suspected of having a communicable disease, or who develops a fever or other signs and symptoms which include but are not limited to, any of the following: diarrhea, rash, pink eye, or skin infection shall be placed in the isolation area (clinic). The condition shall be reported to the parent, and the child shall be removed from the facility as soon as possible. Such children shall not return to the facility until the signs and symptoms are no longer present." Florida Administrative Code 10M-12.005

Immunizations:  http://www.aap.org/policy/0212.html
To download an immunization schedule go to
http://www.immunizationed.org/shotsonline.asp     
   

                                      

Immunization Requirements: 

Grades  Shots
PK -  6 4 DPT/DTaP
3 Polio
1MMR
1HIB
3 Hepatitis B
1 Varicella (or documentation of chicken pox)

 

5DPT/DTaP *
4 Polio**
2MMR
3 Hepatitis B
1 Varicella (or documentation of chicken pox)
5 DPT/DTaP*
4 Polio**
2MMR
3 Hepatitis B
5 DPT/DTaP*
4 Polio**
2 MMR
7-12 5 DPT/DTaP*
4 Polio**
2MMR
3 Hepatitis B
1 Td Booster ***

* 4 doses are required if the 4th dose was given on or after the 4th birthday
** 3 doses are required if the 3rd dose was given on or after the 4th birthday
***students will be exempt from the Td Booster until 8/03

Health Links:

Immunization Schedules:  http://www.immunizationed.org/ (requires Adobe Acrobat Reader)

American Academy of Pediatrics: http://www.aap.org/