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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 2015, 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, 2015. Your cooperation is needed and appreciated.
Parents of students in Grades 6-12 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 Families
This entire Physician Health Form Packet is required and due by July 30.
Rising Preschool - Grades 4

Required:
Prescription Authorization Form, OTC Authorization Form, 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 (management 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 Grades 6-8

If your daughter will play any sport this school year:
We MUST have a new Physician Health Form Packet handed in by July 30. This is a yearly requirement for athletes. Your daughter cannot try out for a sport until the Physician Health Form Packet is received by the nurse.

If your daughter does not play sports:
You still must send in the Prescription Authorization Form, OTC Authorization Form, and Maryland Immunization Form (download and bring to your physician.) Also, if your daughter has allergies, asthma, or diabetes, the Emergency Health Care Plan (management form) must be filled out by your physician and delivered to Mrs. Pitcher by July 30.

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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