Gerstell Academy A Co-Educational Independent College Preparatory Day School
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General Forms

The following links provide an opportunity to download and print forms that pertain to activities at Gerstell Academy. Each form is provided in PDF format and requires Adobe Reader to read their content (a link is provided below to download Adobe Reader if you don't already have this application to read PDF files.)

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Dear Parents or Guardian:

If you have not already done so, please make an appointment with your child’s physician for their school physical. It is an annual requirement at Gerstell and needs to be completed and submitted by the start of the school year.


The following health forms are required for the School Year 2009-2010:

    • Emergency Information and Medical Release form (completed and signed by parents)
    • Physical Examination form (completed and signed by physician)
    • Health Inventory Addendum form (completed and signed by physician – for children age 6 years and under)
    • Maryland Health Immunization Certificate form (completed and signed by physician)
    • Gerstell Medication Policies & Guidelines
    • Request to Administer Medication at Gerstell - Please read the letter re: Medication Policy and Guidelines. This form must be completed and signed by an authorized prescriber and the parent/guardian only if your child will take medication at school. This includes over-the-counter medications.
    • Letter explaining the Physician Directed Treatment Protocol to be used for anyone who has an unknown severe allergic reaction at school.
    • Health Care Action Plan for Allergies form (to be completed and signed by physician only for students with a known allergy)

 

Health Related Forms

2009 - 2010 Nurse's Letter of Explanation of Medical Forms

2009 - 2010 Emergency Information & Medical Release Form

2009 - 2010 Physical Examination Form

2009 - 2010 MD State Management of Diabetes at School Form

2009 - 2010 Medication Policies and Guidelines

MD Health Immunization Certificate

Health Inventory Addendum (Lead Form)

Request to Administer Medication Form

Health Care Action Plan for Allergies

Please return forms by mail or drop them off at the office by Monday, August 3rd.
If you have any questions, call the school at 410-861-3000.

Have a wonderful and safe summer!