School Health

School Based Health Centers are open at the following schools:
Church Hill Elementary (667) 361-4001 Monday, Wednesday & Friday from 12:00 – 3:30pm,
Sudlersville Elementary (667) 727-8093 Monday, Wednesday & Friday from 7:30 – 11:30am, and
Sudlersville Middle (667) 727-8092 Tuesday and Thursday from 7:30am – 3:30pm.
Below are the forms to fill out for students and staff:

Student Form in English
Student Form in Spanish
Staff Form

All Department of Health clinics are Wednesdays and run from 8:30am to 4:00pm each day.  They are first come, first served.

They are primarily designed for incoming K and 7th graders to receive the Varicella, MCV4, Tdap and HPV vaccines. Insurance status does not matter, but we will ask if they have private, public or no insurance. 

6/21/23
7/19/23
8/16/23
8/23/23
9/20/23

Queen Anne’s County Department of Health
206 N. Commerce Street
Centreville, MD 21617-1049
Office: 410-758-0720, ext.4432

Every QACPS school is staffed by a Registered Nurse (RN) or Licensed Practical Nurse (LPN). If you’d like additional information about School Health, please contact the Board of Education office at 410-758-2403.

According to Maryland School Immunization Regulations (COMAR 10.06.04) all students must be immunized according to the Maryland Recommended Childhood Immunization Schedule in order to attend school. 

Vaccine Requirements:

• All students entering kindergarten must show proof of two varicella shots. 
• All students entering 7th grade must show proof of one Tdap vaccination and one meningitis vaccination.

Vaccine Reporting:
Please keep your child’s school up-to-date on their immunization records, including:

• COVID-19
• Influenza
• HPV

Dial 211 Information Sheet
Dial 211 Information Sheet in Spanish

Covid Information Click Here: https://www.qacps.org/covid-19/

Monkeypox Information

RSV Prevention Image from Md Dept. of Health

A physical examination by a physician or certified nurse practitioner must be completed within nine months prior to entering the public school system or within six months after entering the system. A Physical Examination form designated by the Maryland State Department of Education and the Department of Health and Mental Hygiene shall be used to meet this requirement.

Evidence of blood testing for lead exposure is required for all students who reside in a designated at-risk area when first entering Pre-kindergarten, Kindergarten, and 1st grade. The
blood-lead testing certificate (DHMH 4620) (or another written document signed by a
Health Care Practitioner) shall be used to meet this requirement.

Allergy Forms in English and Spanish

MD State Medication Administration Authorization Form

Maryland Schools Record of Physical Examination/Health Assessment

MDMH Blood Lead Testing Certificate

Maryland Department of Health Immunization Certificate

MD Diabetes Medical Management Plan/Health Care Provider Order Form

Guidance Document: MD Diabetes Medical Management Plan/Health Care Provider Order Form

Supplemental Form for Students with Insulin Pumps

Student Discretionary Medication Form

Anaphylaxis Health Care Plan

Asthma Care Plan

Concussion Protocol & Assessment Form

Authorization to Release Information

Gastrointestinal Order Form

Drugs, Brains, and Behavior: The Science of Addiction

Drugs: Shatter the Myths

Ms. Michele Morrissette, MSN, RN
QACPS Health Services Supervisor
(410) 758-2403 Ext. 134
202 Chesterfield Avenue
Centreville, Maryland 21617
[email protected]