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 2019 (Updated for 2019-2020 school year)
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.