School Forms

Diocesan Student Accident Insurance Program

2017 – 2018 Insurance Information & Enrollment Form

Miscellaneous Forms

Notification of Planned Absence

Medical Forms

Physical Examination Form
Private Dental Examination Form
Authorization for Non-Prescription Medication
Authorization for Prescription Medication

Reminders from Our School Nurse

Dentals are required for all students entering Kindergarten, 3rd and 7th grades and all new out of state students.

Physicals are required for Kindergarten, 6th and all new out of state students.

Please note that the Pennsylvania Department of Health has changed the school immunization regulations beginning with the 2017-2018 academic year.  Please click here for the current Pennsylvania vaccination requirements.

Please forward all Kindergarten paperwork as soon as possible.  If it will be after the start of school, please call and touch base with the school nurse.

Reminder to all students requiring medications during the school day (inhalers, insulin, Epipens and oral medications) – Please sign the Authorization from school and return it with the action plan on how and when medication is to be taken at school.  This needs to be signed by the physician and the parent with the necessary instructions.

If you should have any questions, please contact one of our school nurses:

Conewago Campus:  Mrs. Michelle Brown    717-624-2157  x7007

McSherrystown Campus:  Ms. Jennifer Turner   717-637-3135