Phone Number

703-222-8106

Hours and Location

Room 147 | Open 8 a.m. - 3 p.m.

Staff

Karen Reyna Estrada BSN, RN | Public Health Nurse | @email  | 703-227-3004

Sandra Nolff | School Health Aide | [email protected] | 703-222-8106

Student Health at Chantilly HS

Health Information Form

The Health Information Form is to be completed by the parent or guardian at the start of each school year. 

• Health Room Greeting for Parents (English & Spanish)
• Medication Guidelines
• Scoliosis Fact Sheets (English, Spanish, and Korean)

Medication Administration Guidelines

Dear Parent(s),

The following information outlines steps for parents, to help ensure compliance with FCPS Medication Administration Policy.

1. ALL MEDICATION requires a completed Medication Authorization Form. Each medication requires its own authorization form – medications cannot be combined on one form.  Medication authorization forms must be renewed for each new school year.

All forms are available at https://www.fcps.edu/resources/student-safety-and-wellness/school-health-services.   

The following links are provided for specific medication authorization forms.

• • General Medication:https://www.fcps.edu/sites/default/files/media/forms/se63.pdf
• • Epinephrine: https://www.fcps.edu/sites/default/files/media/forms/se64.pdf
• • Inhaler:  https://www.fcps.edu/sites/default/files/media/forms/se65.pdf
  • Virginia Asthma Action Plan (English version) and Virginia Asthma Action Plan (Spanish version)

2. Part I is completed and signed by parent/guardian.
3. Part II is completed and signed by a physician for all prescribed medications.
4. Parents may complete and sign Part II ONLY for over-the-counter (OTC) medications to relieve symptoms of headache, muscle ache, orthodontic pain, or menstrual cramps.  OTC medication needed for any other conditions require a physician to complete part II.
5. All medication must be in the original container.  Prescription medication containers should be labeled and dated by the pharmacist. 
6. Siblings may NOT share any medication bottles.
7. Parents/guardians must transport all prescription medication to and from the clinic. 
8. It is recommended that medications should NOT expire during the current school year.  If a medication is due to expire, you will be notified by email or phone that it needs to be renewed.  Once expired, a medication cannot be administered and must be picked up by parent or discarded.
9. Medications with authorization forms will be received during normal clinic hours: M-F 8am-3pm.
10. All medications and corresponding authorization forms will be checked carefully for compliance with FCPS policy.  Please plan on waiting for this check to be done so that corrections needed can be addressed with you immediately.

 

If you have questions or concerns, please contact the clinic during school hours at 703-222-8106.

Release of Student from School

Only those individuals designated on the Emergency Care Information form will be contacted either to excuse or take your student home. If the subschool contacts you to excuse your child from school, staff must have voice contact with the responsible adult to dismiss the student from school grounds. In an emergency, 911 will be called prior to contacting the parent.