Health Services

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Mandated Requirements

Too Sick?

Below are the required forms for each grade level.  Locate your child(ren)’s grade level to see the required Health Services forms that must be submitted for your child(ren).

Tarjeta de Emergencia Estudiantil en español

2nd Grade

IMMUNIZATIONS

All students are required to submit up-to-date immunization records. If your child is missing any of the required immunizations, you will receive a letter from the nurse’s office listing the missing immunization(s).

The following are the minimum immunizations that are state required for all students entering school for the first time.

 ALL GRADES K-12

• • • 4 doses Tetanus, Diptheria, and acellular Pertussis (1 dose on or after the 4th birthday)

• • • 4 doses Polio (1 dose on or after 4th birthday, and 6 months after the previous dose given)

• • • 2 doses Measles

• • • 2 doses Mumps

• • • 2 doses Rubella

• • • 3 doses Hepatitis B

• • • 2 doses Varicella – **or a written statement from physician/designee indicating month and year of disease or serologic proof of immunity. In addition to the requirements listed above, students in grades 7-12 are required to have the immunizations listed below. Please note that 7th-grade students will not be permitted to start their 7th grade school year without completion of the Tdap and the 1st dose of MCV. 12th-grade students will not be permitted to start their 12th grade school year without completion of the 2nd dose of the MCV.

• • • 1 dose Tetanus/diphtheria/pertussis (Tdap)

• • • 2 doses of Meningitis vaccine (MCV)

**The Allegheny County Health Department offers free immunizations. Please call 412-578-8062 for information.

EXEMPTIONS TO IMMUNIZATION REGULATIONS

Medical exemption – when the physical condition of the child is such that immunization would endanger life or health (requires physician’s signature).

Religious exemption – when the parent/guardian adheres to a religious belief whose teachings are opposed to such immunizations (requires parent/guardian signature).

PHYSICAL EXAMINATIONS

The school health law requires physical examinations for children entering school for the first time (Kindergarten or 1st grade) and in grades 6.
Physical Examination of School Age Student [PDF]

DENTAL EXAMINATIONS

All students entering school for the first time (Kindergarten or 1st grade) and in grades 3 and 7 are required by the State of Pennsylvania to have a dental examination.

• • All physical exams, dental exams and immunization records can be sent in with a student and brought to the nurse’s office or emailed directly to the nurse.

Dental Health Exam[PDF]

The state recommends these exams be done by your private physician/dentist since they can best evaluate your child. If you would like the school physician/dentist to do the required exams please let your school nurse know at the beginning of the school year.

Physical and DENTAL EXAMINATIONS 2026-2027

Smile Dental 

• • • Offers comprehensive dental exams for all students and dental screenings for 3rd & 7th graders. 
    • Dental care is usually at no cost to you, and all insurance is accepted. 
      • 11/17/26
      • 05/18/27
    • Online registration is available and highly recommended. The sign up link will be emailed to all families.

• • • Forms will be sent home with students to be completed and returned to the nurse. Forms can be sent in with a student and brought to the nurse’s office or emailed directly to the nurse.

Vision to Learn

• • • 9/21/26 – Spot Screeners for ALL  students 
    • If your child fails the spot screener, the parent/guardian will be notified via letter sent home with the student, along with a form to sign up for a comprehensive eye exam.
    • 9/28/26 & 11/2/26 – Eye Exams/glasses – students who qualify after spot screeners and who have registered, will receive a comprehensive eye exam and glasses at no out-of-pocket expense.  
    • If your child passes the screener but they are in need of a new pair of glasses, reach out to the school nurse for more information. 

Vaccine Clinic: 

• • • 10/1/26  1:00 pm- 6:00 pm – Giant Eagle Pharmacy will be at PCS to offer all state required vaccines to students and optional vaccines to their family members.
    • Parent/Guardian must be present at PCS in order for a student to receive vaccines.

• • • Online registration is available and the sign up link will be emailed to all families.
    • Paper registration is available. Reach out to the nurses if you need a registration form sent home

MEDICATIONS

Prescription Medications

• • Before any prescribed medication can be administered, PCS requires a completed  Medication Administration Consent and Licensed Prescribers Medication Order Form. 
  • Medication orders DO NOT carry over from school year to school year. Therefore, new physician orders and a parent(s)/guardian(s) permission form must be submitted each school year.
  • All medications must be received in the original prescription container with the correct prescription label on the container. We CANNOT accept medication that is not in the original prescription container, and that does not have a correct prescription label.

View our Student Handbook for additional information.

Non-Prescription Over-the-Counter (OTC) Medications

• • Tylenol, Motrin, Tums and Benadryl are available in the nurse’s office  

• • Parent(s)/Guardian(s) must complete a Student Emergency Care Form in PowerSchool in order for over-the-counter medications to be administered by the nurse during school hours. 
  • Parent(s)/Guardian(s) may indicate which over-the-counter medications their child(ren) are permitted to receive at school. 
  • Students who do not have a completed Student Emergency Care Form in PowerSchool will not be permitted to receive over-the-counter medications until a nurse speaks to a parent or guardian.
  • Students with completed Student Emergency Care Forms on file will be permitted to receive over-the-counter medications from the nurse without having to speak first to the parent(s). 

Rescue Medications

• • Inhalers, seizure medications, Epi-Pens, clotting medications, etc.
  • Before any prescribed rescue medication can be administered, PCS requires:
  • Medication Administration Consent and Licensed Prescribers Medication Order Form AND
  • Action Care Plan (PCS Form or Physician’s Form)

• • All medications must be in the original prescription container with the correct prescription label on the container. We CANNOT accept medication that is not in the original prescription container with a correct prescription label. 

Medication Drop-Off Procedures

• • ALL MEDICATIONS must be delivered to the school nurse by a parent/guardian. When you arrive at the school, come in through the parent/visitors doors. Once inside the vestibule, you will be greeted by a staff member. You can inform them that you are here to drop off medication. The staff member will notify the nursing team and a nurse will meet you in the vestibule to receive and count the medications being dropped off. You will need to complete a Medication Drop-Off Google Form and you will receive an email receipt of the medication drop off confirmation and the refill date. 

• • It is the responsibility of the Parent/Guardian to know the medication refill date. 
  • Students are not permitted to transport medication to or from school. In the event that a student transports medication to school, the parent/guardian will be contacted and asked to come to the school to count the medication with the nurse and complete the Medication Drop-Off Google Form. 

• • Do not give medication to any staff member other than a nurse.

How to contact the Nurses

• • Email: SchoolNurse@providentcharterschool.org
  • Telephone: 412-709-5160 ext. 106
  • Please contact nurses with any questions or concerns regarding your child. 

Children of all ages work hard during the school day, and for an ill child, the energy required to complete the day is often not there.  Not only does this put your child at risk for prolonged illness, but it also puts the children around him/her at greater risk for becoming ill. As your school nurse, I am dedicated to the health and wellness of all students. Please see the following information to assist you in making an informed decision about your child.

These are some reasons when your child should be kept at home:

• • • Fever – ( 100° F || 37.8°C ) – The child should remain at home until 24 hours fever-free without fever-reducing medications.

• • • Nausea and Vomiting – Children should be free of vomiting for 24 hours before returning to school.

• • • Diarrhea – Children should be free of diarrhea for 24 hours before returning to school.

• • • Conjunctivitis (Pink Eye) – Children should be kept out of school until 24 hours after the start of the appropriate treatment or until the physician certifies the child as non-infectious.

• • • Influenza (Flu) – Children should be fever-free for 24 hours without the aid of fever-reducing medication.  Please consider cough status as well.  Persistent cough interferes with your child’s ability to participate in the learning process. Cough should be under control before returning to school.

• • • Strep Throat – Children should be kept out of school until 24 hours after the antibiotic is started.

• • • Fifth’s Disease – Children should be kept out of school if fever is present.  Students can come to school with a rash.

• • • Acute cold and/or persistent cough – It is difficult for your child to concentrate with a constant cough and or nasal congestion. Consider keeping the child at home until cough and or congestion is under control.

• • • Inability to sleep most of the night – If a child is up all night because they do not feel well, sending them to school to “try and get through the day”; most likely won’t work as they won’t have the energy available necessary to finish the day.

• • • Pediculosis (head lice) – Stay home until proper shampoo treatment. The school nurse must check your child before they can return to school.

• • • Norovirus – Norovirus is a highly contagious virus. Norovirus infection causes gastroenteritis (inflammation of the stomach and intestines). This leads to diarrhea, vomiting, and stomach pain. Please see this site for more information on how long to keep your child home from school:
      • • Norovirus  [PDF]