The following information is provided to assist in caring for the health of each of our students. If you have any questions for our School Nurse, please contact Mrs. Katie Nowakowski, RN, at 703-368-4400 or knowakowski@allsaintsva.org.
June 2024 – Physical/Health Form Requirements
Physical/Health Form Requirements
Completion of the Commonwealth of Virginia School Entrance Health Form is required for all Pre-Kindergarten, Kindergarten, and Transfer Students. The Health Form must be completed and on file in our school office prior to the start of the new school year. 7thgrade students are required to have an updated immunizations record submitted to the school clinic prior to the start of the school year.
Completion of the Confidential Health History Form is required at the beginning of each school year for returning students in Kindergarten through 8th Grade, and is completed by the parents. Please annotate any changes in your child’s health history, including updates in allergies, even if they do not have anaphylactic reactions.
A School Physical is only required for the first day of school in grades Pre-K and Kindergarten, but is requested after your other child/ren has had their annual health physical so that we can maintain up to date records for your child’s health and safety.
Immunization Requirements
Immunizations required by the Virginia Department of Health can be found on Supplemental Guidance for School Required Vaccines.
Vaccines Required Prior to 7th Grade:
- Meningococcal Conjugate (MenACWY) Vaccine
- Diphtheria, Tetanus, & Pertussis (Tdap)
- Parent’s or guardian’s may elect for their child not to receive Human Papillomavirus (HPV) Vaccine. A discussion with your child’s pediatrician is suggested.
- Hepatitis A
All health and medication forms you might need, including those for physicals as well as medications to be kept at school, can be found at the following link: https://allsaintsvaschool.org/
Please contact Mrs. Nowakowski, our school nurse, with any questions or concerns at knowakowski@allsaintsva.org.
Please be aware that providing documentation of immunization is a necessary condition for enrollment at All Saints. Those students who have not received proper immunization will not be permitted to attend school at the start of the 2024-2025 school year.
Health forms need to be submitted to the School Nurse for all students by August 1st to provide time for the nurse to review and request any additional information.
- Prior to the start of the school year, students who are NEW or entering Pre-Kindergarten, and Kindergarten, MUST submit the COMMONWEALTH OF VIRGINIA SCHOOL ENTRANCE HEALTH FORM, including up-to-date immunizations.
- Students of all other grades must submit the CONFIDENTIAL STUDENT HEALTH HISTORY (English) or CONFIDENTIAL STUDENT HEALTH HISTORY (Spanish) form prior to the start of the school year.
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Seventh grade students need an updated immunization record.
NOTE: After your child completes his/her Annual Physical with their physician, ALL parents are asked to submit the COMMONWEALTH OF VIRGINIA SCHOOL ENTRANCE HEALTH FORM completed by your child’s pediatric office. Please annotate ALL medical conditions on medical forms for your student’s safety.
If your student has medications that need to be taken at school, either for a short period of time, in case of emergencies, or for daily administration, please find the appropriate forms referenced below.
NOTE: ALL medications must be hand-delivered by an adult to the school nurse with the associated form completed and signed. Students are not allowed to self-carry medications in elementary school, with a few exceptions by permission of their physician.
- Food Allergy and Anaphylaxis Emergency Care Form
- Epipen – If your child requires an Epipen, these are the documents the physician needs to sign:
Epinephrine Administration Form
Allergy Action Plan - Inhaler / Nebulizer – If your child requires an inhaler or a nebulizer, these are the required forms.
Inhaler Administration Form
Asthma Action Plan - Allergy Medication – If your child requires allergy medication (not epinephrine), this is the form needed.
Antihistamine Authorization Form - Diabetes Medication – If your child has diabetic medications, please fill out these forms.
Diabetes Medical Management Plan Form
Diabetic Reference and Indemnification Form - Medication Authorization Form – If your child needs other prescription medications or over-the-counter medications, this form will need to be completed. It can also be used for medications needed on a field trip that are not normally taken at school.
Medication Authorization Form
If you have any questions, please contact Mrs. Katie Nowakowski, the school nurse, at knowakowski@allsaintsva.org.
Physical & Immunization Requirements
- Completion of the Commonwealth of Virginia School Entrance Health Form (fillable pdf version) required for all Pre-Kindergarten, Kindergarten, and Transfer students. The Health Form must be completed and on file in our school office prior to the start of the new school year.
- Virginia has passed legislation requiring additional vaccinations for school admittance effective July 1, 2021. Required Immunizations by the Virginia Department of Health can be found on Supplemental Guidance for School Required Vaccines.
NEW Vaccines Required Prior to 7th Grade:
- Meningococcal Conjugate (MenACWY) Vaccine
- Human Papillomavirus (HPV) Vaccine at the parent’s or guardian’s sole discretion, may elect for the child not to receive the HPV vaccine.
- Diphtheria, Tetanus, & Pertussis ( Tdap)
NEW Kindergarten Vaccine Required Prior to School Entry
- Hepatitis A
Health Resources and Links
Type 1 Diabetes:
Food Allergies:
Asthma:
English 
Spanish