Surry Elementary School

Immunization Guidelines:

https://www.vdh.virginia.gov/content/uploads/sites/11/2016/04/SupplementalGuidance.pdf

Scoliosis Information (Grades 5-10)

https://docs.google.com/document/d/1UUGilukIQlBWNmaG5u-F6jEl29JUUueEgA9sukkOhRo/edit?usp=sharing

Religious Exemption Form:

https://www.doe.virginia.gov/support/health_medical/certificate_religious_exemption.pdf

Commonwealth of Virginia School Entry Physical Exam Form:

https://www.vdh.virginia.gov/content/uploads/sites/58/2021/03/MCH213G_School_Entrance_Fillable-Form.pdf (English)

https://www.vdh.virginia.gov/content/uploads/sites/58/2021/03/MCH213G_Spanish_School_Entrance_FormCombined.pdf (Spanish)

Asthma Action Plans:

https://www.vdh.virginia.gov/content/uploads/sites/58/2016/12/Asthma-Action-Plan-2019.pdf 

Anaphylaxis Action Plans:

https://www.aaaai.org/Aaaai/media/MediaLibrary/PDF%20Documents/Libraries/Anaphylaxis-Emergency-Action-Plan.pdf 

Diabetes Action Plans:

https://drive.google.com/drive/u/0/search?q=owner:me 

https://drive.google.com/drive/u/0/folders/1ttZUSejG7HItp8AREMmYLhA6OUvP1_J- 

Authorization for over the counter as needed medication form:

https://docs.google.com/viewerng/viewer?url=https://www.surryschools.net//cms/lib/VA02208192/Centricity/Domain/60/Medication+Request+OTC+LPJMS.doc

Authorization for prescription medication for greater than 10 days form:

https://docs.google.com/viewerng/viewer?url=https://www.surryschools.net//cms/lib/VA02208192/Centricity/Domain/60/Medication+Request+PHYS+ORDERED+All+3+Schools.doc

Student Accident Claim Form:

https://drive.google.com/file/d/1Nz3DSUhw8YEmPRppfVV3Cw9Y1OfwsPaZ/view?usp=sharing 

Surry Health Department

https://www.vdh.virginia.gov/crater/surry-clinic/

Virginia Department of Health

https://www.vdh.virginia.gov/

VHSL Sports Physical Form

https://drive.google.com/file/d/1POzG8JY2_cxcFocmDbxTGF0G1d366ZOF/view

Lice in School

https://docs.google.com/document/d/1ZTxYyBCFbfket4m5KW_yUVP-bbsU690c3PcYlcKIAVE/edit?usp=sharing