Phone Number

• 703-267-2810

Hours

• 9:00 AM - 4:00 PM

Staff:

• Josephine Sarpomaa | Clinic Aide @email  703-267-2810
• Mikyoung Moon Kim, BSN,  RN | Public Health Nurse @email  571-363-7224

Student Health at Fairfax Villa

Health Information Form

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

Prescription Medications

Children who need to take medication during school hours must have a signed Medication Authorization, Release, and Indemnification Form. Prescription medications require the signature of both the parent and the physician. Inhalers and EpiPens require authorization forms.

• Medication Authorization Form

• Authorization for Anaphylaxis Action Plan.

• Inhaler Authorization Form

Over-the-counter Medications

Over-the-counter (OTC) medications are drugs that can be purchased without a doctor's prescription and are used for the relief of symptoms on a temporary basis. With parent and physician authorization, OTC medications may be given on an "as needed" basis throughout the school year. Parents may authorize limited use for 10 consecutive days with a completed Medication Authorization Form. Examples include antihistamines for allergic reactions.

With parent permission using the Medical Authorization Form, certain OTC medications may be given on an "as needed" basis throughout the school year only as a pain reliever for headaches, muscle aches, menstrual cramps, or orthodontic pain. The medication must be supplied by the parent in its original container. Examples include Tylenol, Advil, Pamprin, and aspirin.

Transport of Medications to and from School

Parents must transport medications to and from school. All medications must be kept in the clinic and taken under adult supervision. Middle school children are not permitted to carry medications, including OTC medications, except for prescription inhalers or EpiPens with the authorization of their parent(s) and physician.

Scheduling Medical Appointments

Please make every effort to schedule appointments outside of school hours. When this is not possible, please send a note to the school on the morning of the appointment stating the time the child will be picked up. Children should bring appointment notes to the attendance secretary before homeroom. The student's name will then be shown on an early dismissal list so teachers will know the student is not cutting class. For safety reasons, parents must sign out children in the office.

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 clinic contacts you to excuse your student from school, the clinic 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.