We want to ensure the safety and well-being of your child at all times. That's why, under Maryland State law and the Archdiocese of Washington's regulations, we need all the forms below completed, signed, and submitted before the start of the school year.

As we gear up for each new school year, ensuring your child is equipped with any necessary medications is crucial. Please complete the proper form for each medication - this is an essential step!

Please ensure that all medications are kept in their original containers and will only be accepted by our staff if they have visible expiration dates.

Our school nurse may need to contact your healthcare provider to confirm any orders, so accurate and complete information on the forms is essential.

We strongly recommend that you make a copy for your records as well.

Remember that neither prescription nor over-the-counter medications can be given to students without a written order from a healthcare provider.

And just a reminder, students must have permission from their healthcare provider and the school nurse to self-administer any medication during the school day.
 

PLEASE NOTE
 

Due to Maryland state law and the Archdiocese of Washington's regulations, where noted, the documents MUST be signed by a healthcare provider. Please check all health forms for BOTH a parent's or guardian's signature and a healthcare provider's signature.

A parent's signature or a prescription is not sufficient, and medication cannot be administered. If any medicine is dropped off without the proper documentation,  it cannot be administered by the school nurses, and it will be sent back home.

Parents are welcome to administer medication themselves during the school day.

---

EMERGENCY FORM

WHO NEEDS IT?: All Montessori Families & Children Enrolled in Aftercare

HOW MANY?: One per enrolled student
WHY?: Mandated by Maryland State
WHEN?: Every Academic Year, or when information changes
IS HEALTH PRACTITIONER'S SIGNATURE NEEDED?: Yes, only for special medical needs 

Emergency Form

The Maryland Department of School Education mandates that all parents complete this Emergency Form annually for each child in any grade.

This form collects essential contact information for parents, emergency contacts, and your child's doctor. It also asks for medical conditions, medications, allergies/reactions, and special emergency instructions. This helps us prepare for any situation and allows us to transport your child to the nearest hospital.

Now, we understand that some children may have specific medical needs, so that section needs to be reviewed and signed by a health practitioner. Parents themselves can quickly complete the remaining sections.

By providing us with this basic medical and emergency information, you are helping us keep your child safe and ensuring that we can give proper care while they are at school.

---

Immunizations & annual physicals

WHO NEEDS IT?: All Families

HOW MANY?: One per enrolled student
WHEN?: Every Academic Year, or when information changes
WHY?: Mandated by Maryland State & Archdiocese of Washington
IS HEALTH PRACTITIONER'S SIGNATURE NEEDED?: Yes, for one section

 

As your child starts a new school year or experiences a change in health, schedule their physical immediately.

We want to ensure all our students are healthy and prepared for learning while meeting the immunization requirements of the Archdiocese of Washington and the State of Maryland. The current year's requirements are listed on the State of Maryland's Back to School vaccination requirement information page.

Please complete all five sections of Form 3, and ensure that Part II is completed and signed by your child's Health Provider.

Form 3 Immunizations

• Immunization Policy Acknowledgement

• Part I: Health Assessment (to be completed by Parent/Guardian)

• Part II: Child Health Assessment (MUST be completed only by Health Provider)

• Maryland Department of Health Immunization Certificate

• Maryland Department of Health Blood Lead Testing Certificate

---

Allergies

WHO NEEDS IT?: Students with Allergies or requiring Epi-Pens

HOW MANY?: One per affected student
WHEN?: Every Academic Year, or when information changes
WHY?: Mandated by Maryland State & Archdiocese of Washington
IS HEALTH PRACTITIONER'S SIGNATURE NEEDED?: Yes

 

An Allergy Agreement and Action Plan form signed by a healthcare provider is required for all children who need an Epi-Pen or have food allergies.

Form 6 Allergy Action Plan

---

Daily Medication AUTHORIZATION

WHO NEEDS IT?: Students needing RX or OTC medication at school

HOW MANY?: One per affected student
WHEN?: Every Academic Year, or when information changes
WHY?: Mandated by Maryland State & Archdiocese of Washington
IS HEALTH PRACTITIONER'S SIGNATURE NEEDED?: Yes

All medications (excluding Epi-Pens and Inhalers) must be accompanied by a completed form signed by a healthcare provider.

To help our school nurses ensure your child receives their daily medication at school, we will need a completed Form 8 signed by a healthcare professional.

Form 8 Medication Authorization

We understand that obtaining a doctor's order may not always be feasible, so we encourage parents to administer the medication at home whenever possible.

---

ASTHMA

WHO NEEDS IT?: Students with Asthma who need inhalers

HOW MANY?: One per affected student
WHEN?: Every Academic Year, or when information changes
WHY?: Mandated by Maryland State & Archdiocese of Washington
IS HEALTH PRACTITIONER'S SIGNATURE NEEDED?: Yes

 

Is your child in need of an inhaler during school hours? Don't forget to get Form 9 signed by a healthcare provider.

Form 9 Inhaled Medication Authorization

And if you have an emergency plan, please include that as well. Remember, inhalers will not be accepted without Form 9 this school year.

---

DIABETES

WHO NEEDS IT?: Students with Diabetes

HOW MANY?: One per affected student
WHEN?: Every Academic Year, or when information changes
WHY?: Mandated by Maryland State & Archdiocese of Washington
IS HEALTH PRACTITIONER'S SIGNATURE NEEDED?: Yes

To ensure a smooth start to the new school year for your child with diabetes, email the school nurse to complete the necessary forms for their care.

---