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Frederick County Public Schools

An innovative community where caring relationships
and authentic learning inspire all students.

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      • Jordan Springs
      • Middletown
      • Orchard View
      • Redbud Run
      • Stonewall
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      • Admiral Richard E. Byrd
      • Frederick County
      • James Wood Middle
      • Robert E. Aylor
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      • James Wood High
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  • Home
  • About Us
    • About the Division
    • Inspire 2025: A Promise for Progress
    • Annual Report
    • Departments
      • Assessment, Reporting & Program Evaluation
      • Construction Services
      • Facilities Services
      • Finance
      • Human Resources
      • Information Technology
      • Instructional Services
      • Planning & Development
      • Policy & Communications
      • School Nutrition Services
      • Special Instructional Services
      • Student Support Services
      • Transportation
    • Budget
    • Staff Directory
    • School Board
    • Policy Manual
    • Superintendent
    • Executive Staff
    • Employment
    • Doing Business With FCPS
    • MS4 Program
    • Website Guide
    • Contact Us
  • Newsroom
    • News
    • Press Releases
    • FCPS Focus
    • FCPS Media Network
    • Social Media
    • Emergency Updates
  • Parents & Students
    • Calendar
    • Emergency Closing Information
    • Enrolling Students
    • FCPS Art Showcase
    • FCPS Handbook for Student Athletes
    • FCPS Student & Parent Handbook
    • Find Your School/Bus Routes
    • Health Services
    • Parent Resources
    • Parent/Student 360
    • School Meals
    • School Safety & Security
    • Student Fees
    • Student Records
    • Recursos Para Padres en Español
  • Academics
    • Distance Learning
    • Middle School Virtual Academy
    • Program of Studies
    • Report Cards
    • Standards of Learning
  • Schools
    • Elementary Schools
      • Apple Pie Ridge
      • Armel
      • Bass-Hoover
      • Evendale
      • Gainesboro
      • Greenwood Mill
      • Indian Hollow
      • Jordan Springs
      • Middletown
      • Orchard View
      • Redbud Run
      • Stonewall
    • Middle Schools
      • Admiral Richard E. Byrd
      • Frederick County
      • James Wood Middle
      • Robert E. Aylor
    • High Schools
      • James Wood High
      • Millbrook
      • Sherando
    • Learning Centers
      • Dowell J. Howard Center
      • NREP/Senseny Road School
  • Community
    • Community Facility Use
    • Distribution of Materials
    • Bright Futures - Frederick/Winchester
    • Frederick County Educational Foundation
  • Staff
    • Staff Intranet (Login Required)
Frederick County Public Schools » Parents & Students » Health Services » Health Forms
Parents & Students
Calendar
Emergency Closing Information
Enrolling Students
FCPS Art Showcase
FCPS Handbook for Student Athletes
FCPS Student & Parent Handbook
Find Your School/Bus Routes
Health Services
Parent Resources
Parent/Student 360
School Meals
School Safety & Security
Student Fees
Student Records
Recursos Para Padres en Español

Health Forms

Action/Care Plans

  • Allergy Action Plan
  • Asthma Action Plan
  • Diabetes Care Plan
  • Seizure Action Plan

Enrollment Forms

  • School Entrance Health Form

Medication Forms

  • OTC/Short Term Medication Form
  • Request and Authorization/Parental Consent for Administering Long Term Prescription Medication

Nutrition/Dietary Forms

  • Medical Statement to Request Special Meals and/or Accommodations

Physical Activity Forms

  • Physical Education Doctor Form

Gainesboro Elementary School

4651 North Frederick Pike, Winchester, VA 22603
Phone: 540-888-4550 | Fax: 540-888-4579

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