Twin Valley Health Services supports the school-aged student so s/he can achieve maximum potential to learn and focus on their education. During school, there will be an emphasis on maintaining good health and preventing spread of disease. For that reason, the school nurses' intervention will be limited to problems that happen during the school day and assisting students that have conditions that directly affect performance and participation in the classroom. The Twin Valley School District supports the requirements of the Commonwealth of the State of Pennsylvania by following their requirements for immunizations for school-aged children, physical and dental exams, and yearly health screenings.

The Department of Health requires every school-aged child attending a public or private/non-public school within the Commonwealth receive the following health services:

• Medical Examination - Kindergarten or 1st Grade, 6th Grade and 11th Grade. 

• Dental Examination - Kindergarten or 1st Grade, 3rd Grade and 7th Grade.

• Growth Screen (Height and Weight) - All grades.

• Vision Screen - All grades.

• Hearing Screen – Kindergarten, 1st, Grade, 2nd Grade, 3rd Grade, 7th Grade and 11th Grade.

• Scoliosis Screen – 6th and 7th Grade.

• Private/non-public schools may request these services from their local public school district.

• Anaphylaxis Medication Order & Emergency Plan.

• Authorization for Inhaler & Asthma Action Plan.

• Authorization for School Medication Administration.

• Seizure Action Plan.

(View necessary forms below)

If a student’s physical activity will be limited by illness or injury, please send a note to school. This note will be shared with the P.E. teacher and the school nurse. Children are expected to participate fully in P.E. and recess activities unless there is an exemption note. A medical problem limiting activity for more than one class period will require a doctor’s note. The doctor should indicate the diagnosis and the length of time that physical activity is restricted

• If the physician requires that the student be reevaluated, before returning to P.E., the physician will need to provide the school with another note stating that the student has been cleared to participate.

• A student with an obvious medical problem (i.e., cast or splint), will be required to have a doctor’s note for P.E. limitations

• A doctor’s note is necessary if elevator use is required at school during recovery

• A doctor’s note is required at the start of each school year for long-term medical conditions.