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Health Forms

Current Stone Ridge Families:
Please locate the blue box for the grade your child will be entering in September 2014, and follow the instructions for which physician forms to download, have filled out by your doctor, and deliver to the School's nurse, Alana Pitcher.

New Stone Ridge Families:
See the gold box for the full Physician Health Form Packet to download, bring to your doctor, and deliver to the School's nurse, Alana Pitcher.

Forms are due July 30, 2014. Your cooperation is needed and appreciated.
Parents of students in Grades 7-12 who will play after school sports:
Every year we MUST have an updated physical on file or your daughter cannot try out for a sport.

Mail or deliver to:
Alana Pitcher, RN
Stone Ridge School of the Sacred Heart
9101 Rockville Pike
Bethesda, MD 20814

If you have an questions, please contact:
Alana Pitcher, RN
apitcher@stoneridgeschool.org
301.657.4322 ext. 347

New vaccine requirements for Kindergarten and Grade 7 students for the 2014-2015 School Year

New school immunization requirements from the Maryland Department of Health and Mental Hygiene, effective at the beginning of the 2014-2015 School Year.  The new requirements  are contained in the Code of Maryland Regulations, COMAR 10.06.04.03.

Kindergarten:
MUST have Two (2) doses of Varicella vaccine upon entering Kindergarten.

Grade 7 Students:
1.  Tdap: MUST have a single dose of Tdap vaccine upon entering Grade 7.
2.  Meningococcal: MUST have a single dose of Meningococcal vaccine entering Grade 7.

New Families
This entire Physician Health Form Packet is required and due by July 30.
Rising Grades K-4

Required:
Prescription Authorization Form, OTC Authorization From, and Maryland Immunization Form - click to download and bring to your physician.

If your daughter has allergies, asthma or diabetes, the Emergency Health Care Plan (managment form) must be filled out by your physician.

Optional:
It is helpful to update the Physician's Examination Form at your child's annual physical, although not required.

Rising Grade 5
The entire Physician Health Form Packet is due by July 30. The full packet is due since your daughter is moving up a Division.
Rising Grade 6

Required:
Prescription Authorization Form, OTC Authorization From, and Maryland Immunization Form - click to download and bring to your physician.

If your daughter has allergies, asthma or diabetes, the Emergency Health Care Plan (managment form) must be filled out by your physician.

Optional:
It is helpful to update the Physician's Examination Form at your child's annual physical, although not required.

Rising Grades 7-8

This entire Physician Health Form Packet is due by July 30. The full packet is due by this date because most students play a sport in Grade 7 and 8. Your daughter cannot try out for a sport until the Physician Health Form Packet is received by the nurse.

Rising Grade 9

This entire Physician Health Form Packet is due by July 30.  The full packet is due by this date since your daughter is moving up a Division. Your daughter cannot try out for a sport until the Physician Health Form Packet is received by the nurse.

Rising Grade 10-12

If your daughter plays a sport:
The entire Physician Health Form Packet is required by July 30. Your daughter can not try out for a sport until the Physician Health Form Packet is received by the nurse.

If your child does not play a sport:
The OTC Medication Authorization Form is required annually. The Prescription Authorization Form is required for those students who need a prescribed medication dispensed at school.

If your daughter has allergies, asthma or diabetes, the Emergency Health Care Plan (managment form) must be filled out by your physician.

Optional:
It is helpful to update the Physician's Examination Form at your child's physical, although not required.

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