School Health Services

The HEALTH OFFICE (A313) is open: 7:30 a.m. to 3:00 p.m. for students with acute and chronic health issues and/or routine first aid (If the office is closed and assistance is needed outside of these hours please see and Administrator, Front Desk, or House Assistant).

Student dismissal through the health office require a nurse to assess for illness or injury. Students will only be dismissed home with parental permission.


Yearly parent permission is required for “over the counter medication” see Student Health Emergency Information Form

Student Health and Emergency Information Form


All medication will be stored and dispensed through the Health Office this includes over the counter medications for safety reasons, students should never transport medication to and from school or keep medicine in their possession during the school day. The parent/guardian or an authorized adult are requested to deliver medication to the health office. Exception to this policy is the “self-administration” consent, which allows students to carry their personal inhaler and/or EpiPen and self-administer as directed. Consent from their health care provider and parent/guardian are required for the self-administration order.

If it becomes necessary for a student to take any form of medication at school, a written authorization from the parent, a medication order from a licensed prescriber, and the pharmacy labeled container must be presented to the school nurse. Under certain circumstances, in consultation with the school nurse, a student may self-administer asthma inhalers, insulin, or Epi-pens® during the school day. An updated action plan with Practitioner authorization for student to self administer and a parent authorization form is needed. Any medications that are not picked up by the last day of school will be destroyed. Contact your school nurse for more information.

Prescriber Authorization for Prescription Medication Administration Form (Print)

Parent Authorization for Prescription Medication Administration Form (Print)

LS Asthma Action Plan

L-S Allergy Action Plan

L-S Seizure Action Plan


Lincoln Sudbury provides health screenings for students as required by the Massachusetts Department of Public Health. This includes postural screenings and Substance Brief Intervention Referral Treatment(SBIRT) for 9th graders, as well as vision, hearing and BMI screening for 10th graders.

If your student is under care for scoliosis or you wish to opt out please use the form below.

Health Office Posture Screen Form Refusal 6 2018

Screening, Brief Intervention, and Referral to Treatment (SBIRT) focuses on prevention, early detection, risk assessment, brief counseling and referral for assessment that can be utilized in the school setting.In March, 2016, the Massachusetts Legislature enacted an Act relative to substance use, treatment, education and prevention (STEP Act) which outlines the requirements for public schools in the Commonwealth to engage in substance use screening and education. Legislation can be found at (see Sections 15, 63, 64, 66). Parents will be notified prior to commencement of this screening with an opt out option.

Law requires that all 10th grade students have a physical examination by their private physician and that the results be filed in their health record.

As part of the MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH Immunization Exemptions and Vaccine Preventable Disease Exclusion Guidelines in School Settings it is required that a letter be submit annually at the beginning of the school year.

Definition of Allowable Exemptions There are two situations in which children who are not appropriately immunized may be admitted to school: 1) a medical exemption is allowed if a physician submits documentation attesting that an immunization is medically contraindicated; and 2) a religious exemption is allowed if a parent or guardian submits a written statement that immunizations conflict with their sincere religious beliefs.
Religious Statement of Exemption

The law states that medical exemptions must be presented at the beginning of each school year. MDPH recommends also requesting religious exemptions on an annual basis, in writing, at the beginning of each school year.


If a student is excused from a Wellness class, a signed and dated letter from a health care provider must be on file in the Health Office.