Medical Forms

It is imperative that the academy has current medical information for each student.  An Emergency Medical Authorization MUST be completed for each student annually. Forms are sent home on the first day of school.  Click on the links below if your child needs a new or updated copy of the following forms:

 

• Emergency Medical Authorization
• Medication Policy and Physician and Parent Request for the Administration of Medication by School Personnel (if your child requires medication during school hours)
• Authorization for Student Possession and Use of an Epinephrine Autoinjector
• Authorization for Student Possession and Use of an Asthma Inhaler

Guidelines for When to Keep a Sick Child Home

Parents should keep a child home from school following these health guidelines:

• If a child has a runny or stuffy nose with flu-like symptoms.

• Twenty-four (24) hours after a fever breaks.

• If a child is sick during the night or before school.

• If strep throat is suspected, the child must have a strep test taken to be sure that strep is not present. The child may come to school when the strep test reads negative.

• Children having diarrhea.

If a child becomes ill while in school, the parents will be notified.  A child who exhibits the following signs of illness will be isolated from the other children (in the clinic or the office) and must be picked up by the parents:

• a temperature of 100 degrees Fahrenheit (taken by oral methods)

• skin rash

• diarrhea and/or vomiting two or more times in the same day

• evidence of lice infection

If you have concerns about flu, click here to view the Ohio Department of Health Flu website.

The following is a list of the most common communicable diseases and their symptoms:

• Chicken Pox: Feverishness . . . rash appears in the form of small pimples which, in a day fill up with a clear fluid. Incubation period between 14-21 days

• Measles (Rubeola): Head cold, feverish, watery eyes, sneezing. Blotchy red rash appears on forehead, face and body. Incubation period between 7 -14 days

• German Measles (Rubella or Three Day Measles): Mild measles . . . blotchy,

• Mumps: Fever, swelling on side of face and jaws as glands become swollen and tender. Incubation period between 12-26 days. Isolation period until swelling of glands has disappeared.

• Scarlet Fever and Streptococcal (sore throat): Fever, headache, sore throat, vomiting. A fine rash appears with scarlet fever. Incubation period between two and five days. Isolation for 48 hours after start of antibiotic treatment. May be readmitted to school upon receipt of a written statement that the child has been treated. The name of the physician should be included.

• Impetigo: Blister-like lesions which later develop into crusted pus-like sores which are irregular in outline. Incubation period two to five days, occasionally longer. Communicable from onset of symptoms until sores are healed. Child will be excluded from school until adequately treated and sores are no longer draining.

• Conjunctivitis (pink eye): Redness and swelling of the membranes of one or both eyes with burning and itching, sensitivity to light, and a discharge. Immediate medical treatment needed. Exclusion from school until fully recovered. Communicable during the course of the infection until discharge ceases.