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.