Health Services (School Nurse)

HS School Nurse

717-244-4021, extension 3508

Whitney.Sams@dallastown.net

Important Forms and Links

*NEW* PA Dept. of Health Vaccination Requirements (revised March 2017)

11th Grade Physical Form (revised March 2015) - Completed 11th grade physical health forms can be faxed to 717-244-8813 (Attn: School Nurse).

Allergy Emergency Action Plan 

Asthma Emergency Action Plan

Asthma Inhalers Self Administration

Concussion Accommodations Form - Accommodations for Students with Concussions 

DASD Use of Medications Guidelines (Last Modified on December 15, 2011)

Private Dentist Report.pdf

Medication Administration Consent Form 2015 (Last Modified on September 9, 2015)

Medication Request Form for Prescription and Non-Prescription Medication at School

Seizure Emergency Action Plan 

 

Instructions for students, as stated in the DAHS Student Handbook: If you become ill during the day, report to the nurse’s office. However, only emergencies should excuse you from a class session. Do not come to the nurse’s office between classes, but report first to your class and ask for a pass from the teacher. Do not leave the building without first reporting to the nurse or to the Attendance Office.


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