Health Services

The below screenings are mandated by the Pennsylvania Department of Health. These are considered screenings and should not be a substitute for regular check-ups. The school nurses conduct these screenings. All screening results will be shared via the community portal. If your child fails vision, hearing, or scoliosis screening you will receive an additional notification.

 Provision of School Health Services and Mandated School Health Services

• All Grades: Height, Weight, Vision (Convex, Color, Stereo/Depth Perception First Grade Only)

• Hearing: K, 1st, 2nd, 3rd, 7th, and 11th grade only

• Scoliosis Screen: 6th grade (typically done by physician during physical) and 7th grade.

  • School law requires that a screening for scoliosis be performed on students while in 7th grade. The purpose of the screening program is to detect possible curvature of the spine in children. If the condition is detected early and appropriately treated, progressive spinal deformity may be prevented. The screening test is very simple and can be performed in less than a minute. Your child's back will be evaluated while he/she stands and bends forward. For this screening, boys and girls will be seen separately. Each child will be required to remove their shoes. As the child bends over, their back will be exposed (only to the nurse during the screening). You will be notified only if medical follow-up is necessary. The screening does not replace your child's regular health care and check-ups. Only students whose parent/guardian(s) give permission will be screened.

Your child failed the vision screening? Now What?

If your child failed the standard vision screening provided by the school nurse, results will be sent home with your student and in Sapphire.

• Remember, this is just a screening and does not replace or supersede a doctor's exam and diagnosis.

• If your child has seen an eye care professional recently, they do not need to be seen outside of the doctor's schedule (yearly exam).

• If your child has not been seen by an eye care professional, it is recommended to schedule an appointment to have their eyes examined. Please have your eye care professional complete the form and return it to the school nurse.

Eye Specialist Report Form

Your child failed the hearing screening? Now What?

• Remember, this is just a screening and does not replace or supersede a doctor's exam and diagnosis.

• If your child has been seen recently by a physician regarding their hearing, they do not need to be seen outside of the doctor's schedule.

• If your child has not been evaluated for their hearing, it is recommended that you schedule an appointment to have them further evaluated. Please have your physician complete the form found below and return it to the school nurse.

Physician/Hearing Specialist Report Form

• Physical Requirements

  • The Pennsylvania Department of Health requires that all students receive a physical exam upon original entry into school (Kindergarten or first grade), while in sixth grade, and while in eleventh grade. An exam that has been done after July 1, (one year prior to the required school year) is acceptable.

• Dental Requirements

  • The Pennsylvania Department of Health requires that all students receive a dental exam upon original entry into school (Kindergarten or first grade), while in third grade, and while in seventh grade. An exam that has been done after July 1, (one year prior to the required school year) is acceptable.

Please submit a Private Physical Form and Private Dental Form to the health office or via the Sapphire community portal.

Private Physical Form

Private Dental Form

Sapphire Community Portal

School Physicals

If you would like your child to be seen by the school physician, please fill out the School Physician Permission Form. Reminder letters and physical forms will be sent home at the end of school year prior to the year physical is needed.

School Physician Permission Form

SMILE PENNSYLVANIA..the mobile dentists

Smile Pennsylvania is an in-school dental program that utilizes the latest technology in portable equipment, bringing dental services directly to our school. Smile Pennsylvania accepts Medicaid and CHIP as well as private insurance. For those without insurance or the means to pay, they offer a grant program. No child is turned away due to the inability to pay. Information and the registration form will be sent home with students. If you would like your child to participate in the Smile Pennsylvania Program, please turn in the registration form (sent home with students) or sign up at the link below.

My School Dentist Online Registration

School Vaccination Requirements

For attendance in all grades children need the following:

• 4 doses of Diphtheria, Tetanus, Pertussis (1 dose on or after the 4th birthday)

DTAP Info Sheet

• 4 doses of polio (4th does on or after 4th birthday and at least 6 months after previous dose given)

Polio Vaccine Info Sheet

• 2 doses of measles, mumps, rubella

MMR Info Sheet

• 3 doses of hepatitis B

Hepatitis B Info Sheet

• 2 doses of varicella (chicken pox) or evidence of immunity

Varicella Info Sheet

For attendance in 7th grade:

• 1 dose of tetanus, diphtheria, acelular pertussis (Tdap) on first day of 7th grade

TDAP Info Sheet

• 1 dose of meningococcal conjugate vaccine (MCV) on the first day of 7th grade

MCV Info Sheet

For attendance in 12th grade:

• 1 dose of meningococcal conjugate vaccine (MCV) on the first day of 12th grade. If one dose was given at 16 years of age or older, that shall count as the twelfth grade dose.

These requirements allow for the following exemptions: medical reason, religious belief, or philosophical/strong moral or ethical conviction. Even if your child is exempt from immunizations, he or she may be excluded from school during an outbreak of vaccine preventable disease.

Please upload vaccine record into student's community portal or provide a copy for the school nurse.

Sapphire Community Portal

Please be sure to complete your child's Yearly Medical Update Form prior to the start of each school year located on the community portal or print Yearly Medical Update Form and hand into health office.

Yearly Medical Update Form

Sapphire Community Portal

Millville Area School District would like to help parents/guardians and students treat minor pain, uncomplicated headaches, menstrual cramps, by providing a standing order for Acetaminophen and Ibuprofen. This means that the school physician authorizes students to receive the above medications within certain guidelines and parental/guardian permission. Acetaminophen dosage at the Elementary School will be calculated by weight. Dosage of Acetaminophen at the High School level will be a standard recommended dose of 1-2 tablets of regular strength (325mg) Acetaminophen. Dosage of Ibuprofen at the High School level will be a standard recommended dose of 1-2 tablets of 100mg Ibuprofen. Temperatures greater than or equal to 100.4 degrees Fahrenheit will be referred to a parent/guardian, and no Acetaminophen will be administered.

Administration of Prescribed Medication

The administration of a prescribed medication to a student during school hours will be permitted only when failure to take such medication would jeopardize the health of the student and/or the student would not be able to attend school if the medication was not made available during school hours.

The parent or guardian must complete a permission form before any medication will be administered. You may print the Medication Administration Request Form or pick up a form at the school health office. The following information must be provided:

1. Name of Student
2. Name of Medication
3. Dosage and Time Medication is to be given
4. Signature of Physician
5. The prescription number and date must be on the bottle label

Medication Administration Request Form

Medication Statement for Students

For your convenience, completed physician orders that are faxed will be accepted. The Elementary School fax number is (570)458-4715 and the High School fax number is (570)458-5583.

Self-medication for students who need an inhaler, diabetic supplies, or an EPI-PEN for allergic emergency.

The school district will permit self-medication during school hours only when failure to take such medication would jeopardize the health of the student or if the student would not be able to attend school without taking the medication. To self-medicate, a student must demonstrate that they are capable and will be responsible. A parent/guardian must sign permission on behalf of the student giving permission for the student to self-administer the above-mentioned medications. The student's physician must also provide written orders and signature allowing student to self-administer medication. You may print the Self-Administration Medication Request Form or pick one up from the school health office.

Self-Administration Medication Request Form

Medication Administration Request Form

Request Form to Self-Administer Medication

Yearly Medical Update Form

Private Physical Form

Private Dental Form

School Physical Form

Eye Specialist Report Form (Failed Hearing)

Physician/Hearing Report Form (Failed Hearing)

Food Allergy and Anaphylaxis Action Plan

General Seizure Action Plan

Asthma Action Plan

Diabetes Action Plan

Hand Washing

Pink Eye (Conjunctivitis)

Hand, Foot, & Mouth Disease

Strep Throat

Head Lice

Influenza (Flu)

Impetigo