Student Medication Authorization Forms
PARENTS NEED TO BRING ALL MEDICATION TO THE SCHOOL AND CONFIRM THAT ALL FORMS ARE FILLED OUT PROPERLY BEFORE MEDICATION WILL BE ADMINISTERED AT SCHOOL!!!!!
Over the counter medication must be unopened .
Anaphylaxis
We need Medication Form and Allergy Letter Filled out Yearly and Submitted to the Health Room.
- Epi-Pen Medication Forms - 525-14 (translations available)
- Allergy Letter - - Allergy Letter English/ Spanish
Asthma
We need Medication Formand Asthma Letter Filled out Yearly and Submitted to the Health Room.
- Asthma Medication Forms - 525-13 (translations available)
- Asthma Letters - Asthma Letter English / Asthma Letter Spanish
Seizure
We need Medication Form and Seizures Letter Filled out Yearly and Submitted to the Health Room.
- Seizure Medication Forms - 525-13 (translations available)
- Seizures Letters - Seizure Letter- English / Seizure Letter- Spanish
Medication/ Treatment
If you students need Medication or Treatments done at school, please fill out proper forms yearly.
- Medication Forms - 525-13 (translations available)
- Treatment Forms - 525-12 (translations available)
New Student Enrollment Health Forms
- Health Inventory Form (translations available)
- Dental Form (translations available)
- Blood Lead Form Blood Lead- English / Blood Lead- Spanish
- Immunization Form
Where to Get Immunization ?????
If you do not have insurance and need to get your required vaccinations.
1.You can reach out to the health room at (240)-740-0762
You can contact Rocking Horse at (240)740-4430 to schedule an appointment
Address: 4910 Macon Rd, Rockville, MD 20852
3.You can contact Dennis Avenue Health Center at (240)777-1050 to schedule an appointment
Address: 2000 Dennis Ave., Silver Spring, MD 20902
Health Insurance
No Social Security Number - CFK:
Social Security Number - Maryland Health Connections:

