St. Theresa Catholic School - Ashburn, VA

  • About
    • About
    • Principal's Message
    • Staff Directory
    • Parish
    • Frequently Asked Questions
    • Gallery
    • Employment
    • Contact Us
  • Academics
    • Schoology
    • Powerschool
    • Library Catalog
    • Curriculum
    • Assessments
    • Resource
  • Admissions
    • Visit Us
    • Apply to Saint Theresa
    • Open House
    • Tuition
    • Tuition Assistance
    • Current Families
    • Virginia State Health Requirements for School Entrance
  • Student Life
    • Band
    • Spiritual & Service
    • School Counselor Services
    • Extracurricular Activities
  • Parents
    • Calendar
    • Parent Links
    • Extended Day Care
    • Nurses Corner
    • Family Service Program
    • Updating Student/Parent Information
    • PTO
  • Support & Alumni
    • Donate
    • FOSTS Golf Tournament
    • Thunder Appeal
    • Annual PTO Auction
    • Alumni Information
  • About
    • About
    • Principal's Message
    • Staff Directory
    • Parish
    • Frequently Asked Questions
    • Gallery
    • Employment
    • Contact Us
  • Academics
    • Schoology
    • Powerschool
    • Library Catalog
    • Curriculum
    • Assessments
    • Resource
  • Admissions
    • Visit Us
    • Apply to Saint Theresa
    • Open House
    • Tuition
    • Tuition Assistance
    • Current Families
    • Virginia State Health Requirements for School Entrance
  • Student Life
    • Band
    • Spiritual & Service
    • School Counselor Services
    • Extracurricular Activities
  • Parents
    • Calendar
    • Parent Links
    • Extended Day Care
    • Nurses Corner
    • Family Service Program
    • Updating Student/Parent Information
    • PTO
  • Support & Alumni
    • Donate
    • FOSTS Golf Tournament
    • Thunder Appeal
    • Annual PTO Auction
    • Alumni Information

Nurses Corner


Clinic Contact Information

Email: [email protected]

Clinic Phone Number:  (703) 687-4393

Notifying the school of student absences

Elementary Students: Please email the clinic, school office, and your child's homeroom teacher 
​Middle School Students: Please email [email protected]

When students become ill at school

Parents must pick up their sick or injured child in a timely manner when contacted. If the parent cannot be reached, emergency contacts will be called to pick up the child.
​

In accordance with Virginia Department of Health Regulations, students with fevers and/or contagious or infectious diseases will be sent home promptly and will be excluded from school and after school events while in that condition. Once the student is confirmed to be free of communicable illness by a health care provider or is fever free/symptom free for 24 hours without taking anti-fever medications, the student may return to school.  


​Returning Student Health Forms


Confidential Health History Update

Returning students must submit a Confidential Health History Form and, if applicable, an updated Immunization Record each school year. Please print and complete the document below and return to the clinic:
Confidential Health History Update
File Size: 168 kb
File Type: pdf
Download File


​
New Student Health Forms

School Entrance Health Form

Students who are new to St. Theresa Catholic School will need to complete a Commonwealth of Virginia School Entrance Health Form for each child (see below) and return this form to the school office. Please remember to copy the original health assessment for your records before submitting the original to the school.  
School Health Form
File Size: 929 kb
File Type: pdf
Download File

Tuberculosis Screening Requirements

All new students attending St. Theresa Catholic School are required to provide documentation that a tuberculosis screening has been performed no sooner than six months prior entering school. This documentation is included in the Commonwealth of Virginia Health School Entrance Form. It must be signed by a licensed health care provider and indicate that the student is free of communicable tuberculosis. If that part of your child's Commonwealth of VA Health Form was not completed at a physician's office or is outdated, you must have the Tuberculosis Screening Form, below, completed at a physician's office or through the Loudoun County Health Department. When complete, please submit to the school office before the first day of school.
Tuberculosis Screen
File Size: 181 kb
File Type: pdf
Download File



​Immunization and Other Health Forms

Immunizations

All students, see below for information on school-required vaccines.
VA Dept of Health Vaccine Guidance
File Size: 192 kb
File Type: pdf
Download File

Commonwealth of VA Religious Exemption Form
File Size: 17 kb
File Type: pdf
Download File

Medication Authorization Form
 
For all medications prescribed by a physician or over the counter medications, except inhalers or Epi-Pens, please print and complete the form below and return to the clinic:
Medication Authorization
File Size: 69 kb
File Type: pdf
Download File

Asthma Medication Authorization Forms
 
For students with asthma, please print and complete the forms below and return to the clinic:
Asthma Medical Authorization Form
File Size: 510 kb
File Type: doc
Download File

Self-Carry Inhaler Agreement
File Size: 48 kb
File Type: docx
Download File

Allergy Treatment Plans and Authorization Forms
 
For students with allergies that use only Benadryl, please print and complete the form below and return to the clinic:
Antihistamine Administration Form
File Size: 98 kb
File Type: pdf
Download File

Antihistamine Administration
 
For students with allergies that use an Epi-Pen or Auvi-Q, please print and complete the forms below and return them to the clinic:
Food Allergy Care Plan
File Size: 299 kb
File Type: docx
Download File

Antihistamine Administration Form
File Size: 98 kb
File Type: pdf
Download File

Self-Carry Epi Pen
File Size: 48 kb
File Type: docx
Download File

Diabetes Emergency Reference Forms
 
For students with diabetes, please print and complete the forms below and return to the clinic:
Diabetes Reference
File Size: 79 kb
File Type: doc
Download File

Diabetes Management Plan
File Size: 88 kb
File Type: docx
Download File

Seizure Action Plan

​
For students with a seizure diagnosis on anti-seizure medications, please print and complete the forms below and return to the clinic:
Seizure Action Plan
File Size: 107 kb
File Type: docx
Download File


Saint Theresa Catholic School
21370 St. Theresa Lane
Ashburn, Virginia 20147
p: 703-729-3577
f: 703-729-8068
Picture

Picture