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Required Medical Documentation
Home | General Information | Medical Information | Required Documentation
 

Below is a list of medical documents that we must have on file for each student enrolled at Geneva. Please read the explanation under each item carefully, as this information is important to the health and safety of your child. Do not hesitate to contact our School Nurse, Lou Jones, RN, if you have any questions. Please know that the purpose of this information is to serve as a reference, not to give you information to memorize; therefore, please continue to refer to this information as necessary. Please also refer to The Geneva School Medication Policy for further information.

Please turn in any applicable forms to us by August 1. For new students to Geneva, some of the records should come from your child’s current school. We will send those Requests for Records over the summer, and you will be contacted later in the summer if we do not receive all of the necessary records from your child’s school. Please note that your child may not attend Geneva until we have all required forms.

Forms that are required are as follows:

Certification of Immunization, DH 680

  • State of Florida form; provided to you by physician or the Department of Health
  • Original blue form is preferred.
  • Required for all grades (see below for specifications)
  • All students entering grades Pre-K, K, and 7 have age-specific immunization requirements. They must see a Florida physician or the Department of Health to receive those immunizations, and then you will turn the form in to TGS.
  • Once we have your form with the appropriate grade requirements, that form will apply until the next grade listed above.
  • New TGS students: If your child has been in a Florida school, this should come in current school records. However, if your child is starting at TGS in Pre-K, K, or 7th grade, he/she will need to have the updated immunizations and the new form turned in to TGS. If moving from out of state, you will have a Florida physician or the Department of Health fill out the form, and then you will turn it in to TGS. You will need to bring with you any documentation of previous immunizations to the physician or the DOH.

    Certification of School Entry Health Examination, DH 3040

  • State of Florida form; provided to you by physician or the Department of Health
  • Original yellow form is preferred.
  • Required for all grades
  • Once we have your form, it will apply for the duration of your child’s enrollment at TGS.
  • New TGS students: All new students coming from another Florida school should have already had a physical performed upon their initial entry into the Florida school. If this is the case, the form should come in your child’s previous school records. All new students coming from outside the state of Florida are required to have a new physical performed and to turn the form in to TGS, unless they have had a physical within the year prior to enrollment at TGS.

    Copy of Birth Certificate

  • Required for all students
  • Once we have a copy, it will apply for the duration of your child’s enrollment at TGS.
  • New TGS students: If your child has been in a school, this should come in current school records. If this is your child’s first school, you are responsible for turning in a copy to us.

    Emergency Medical Release Form

  • Geneva School form (Click hereto download form)
  • Required for all grades
  • Must be notarized and completed thoroughly both front and back (TGS has several notaries on staff.)
  • New form required each year
  • Medication Administration Form

  • Geneva School form (Click here to download form)
  • Required for a student in any grade who has medication supplied by you. (Geneva supplies only Tylenol (acetaminophen), Advil/Motrin (ibuprofen), Benadryl (diphenhydramine), and Tums (calcium carbonate), and these are given only with your permission on the Emergency Medical Release Form. Any other prescription or over-the-counter medication must be supplied by you, along with this Medical Administration Form.)
  • For prescription medication, the form MUST be signed by a physician.
  • New form required each year, as medication is supplied
  • Should your child have a life-threatening allergy or chronic medical condition that could affect his/her daily activities at school, I would like to schedule a meeting with you and your child before or during the first week of school. Together we will formulate an Individualized Health Plan for your student. If you are interested in doing this, please call our receptionist at (407) 332-6363 to schedule a meeting with me after August 7th. For those children with Epi-pen prescriptions, an Authorization for Administration of Emergency Medication for Severe Allergic Reaction must be completed and signed by the parent AND physician. Two sets of emergency medications are to be supplied by the parent - one to remain in the classroom with the child and one in the clinic. If your child has asthma and carries an inhaler to be self-administered, state law requires that an Authorization for Asthma Medication Administration at School be completed and signed by the parent AND the physician.

    Please note that the FHSAA athletic physical evaluation forms, required for all 6th-12th grade students participating in a sport, are separate from and in addition to the Department of Health forms. See the Athletics page for more information on the FHSAA forms.

     
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