Clinic & Health Forms

PK-12 Severe Allergy Form (Required if your child has a severe allergy)

PK-12 Food Allergy Health History Form (Required if your child has a severe allergy)

PK-12 Asthma Action Plan (Required if your child has asthma)

PK-12 Physician Clearance in order for your child to participate in school activities & PE (Required: Any form from your physician to convey this statement is acceptable; must turn one in each year)

PK-12 Prescription Medication Form

7-12 Pre-Participation Physical Examination (To be completed by your Physician annually)

7-12 Pre-Participation Medical History Form (Please complete this form annually through Renweb)

• Please log in to the parent portal on RenWeb in order to enter and/or update your child’s medical information including any medications taken at home and school. This is extremely important and provides us with the information needed to best care for your child (example: if he/she has asthma, severe allergies, etc.).
• Permission is required for the nurses to administer certain over-the-counter medications on an as-needed basis while the student is on campus at TVS.
• Should changes occur during the school year, you may call or email us.

Over the Counter Medications:

• Over the counter medications are available in the clinic, but will only be administered with your permission. Please make sure the medical portion of RenWeb is up to date each year.
• If your child is taking an over-the-counter medication that we do not have in the clinic, you may bring the medication to our office. We are happy to administer it to him or her as needed with your permission.

Prescription Medications:

• All prescription medications must be stored in the nurse’s office and require the prescription medication form to be filled out by a parent and the prescribing physician. You will find the appropriate form listed above under HEALTH FORMS. The medication should be delivered to the nurse’s office by the parent and in a labeled bottle from the pharmacy.
• Please do not send medication in a zip-top bag.
• The only prescription medications that will be allowed for students to carry with them are asthma inhalers and epi-pens. In order to carry these medications, clearance will need to be made by the physician and parent. Please fill out the appropriate allergy or asthma action plan form listed under HEALTH FORMS and submit to the nurse.
• Asthma inhalers for Lower School students should be stored in the nurse’s office and accompany the asthma action plan.

• If your child has a temperature of 100 degrees or higher, please keep your child home from school until he/she is fever free for a 24-hour period.
• If he/she has fever the night before school or the morning of, please do not medicate him/her with Tylenol, Advil, etc. and send him/her to school.
• If your child is vomiting or has diarrhea, please keep him/her home from school until he/she is symptom-free 12 hours prior to the start of school.
• If your child has a surgical procedure and requires pain medication that is stronger than over-the-counter medications, he/she should not be at school.