Pennsylvania School Health Forms

Frequently Asked Questions

What forms do I need to fill out for student health?

Student Health Forms Annual Student Emergency and Medical Information Form (S-865) The Annual Student Emergency and Medical Information form must be filled out every year by parents or guardians to allow the school nurse to medicate their child with Acetaminophen or Ibuprofen as prescribed by the School District’s medical Officer/pediatrician.

What are school health services required in Pennsylvania?

The Pennsylvania Public School Code requires certain school health services for all children of school age, regardless of the school setting. This page focuses on the physical examinations and health screenings (growth, hearing, scoliosis, TB and vision).

What is the date of the PA school dental form?

DATE H514.027 (02/2013) Title School Dental Form Author sweigle Last modified by Lpavlesich Created Date 12/9/2008 3:31:00 PM Company Pennsylvania Department of Health

What is the school code for physical exams in PA?

The Pennsylvania Public School Code Section 1402. Health Services (e) requires that students upon original entry, sixth grade and 11th grade be given a "comprehensive appraisal" of their health. The physical is to be completed within 4 months prior to the start of the school year.

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