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  • Home
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  • Schools
    • District Office
    • Akron Elementary School
    • Clay Elementary School
    • Fulton Elementary School
    • Highland Elementary School
    • Ephrata Intermediate School
    • Ephrata Middle School
    • Ephrata High School
    • Ephrata Virtual Academy
  • District Information
    • 2020-2021 School District Calendar
    • Mission, Vision & Belief Statements
    • School Hours
    • Administration
    • Comprehensive Plan
    • Curriculum
    • Ephrata at a Glance
    • Information and Assessment Data
    • Public Notices
    • Public Presentations
    • Request for Facilities
    • Title IX
  • School Board
    • School Board
    • Board Meeting Calendar
    • Board Meeting Minutes
    • Board Publications
    • School Board Policy
  • Services & Departments
    • Business Office
    • District Wellness
    • Early Childhood Education
    • Federal Programs
    • Food & Nutrition Services
    • Health Services
    • Human Resources
    • Multilingual Translations
    • Student Support Services
    • Technology Services
    • Transportation
  • Community Resources
    • Alumni
    • Community Happenings
    • Ephrata Area Education Foundation
    • Senior Citizen Tax Exchange Program
    • Media Releases
    • Multilingual Translations
    • Volunteers
  • Athletics
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Health Forms

Health Forms

  • Allergies Health History
  • Allergy Action Plan (FARE form)
  • Asthma Questionnaire
  • Asthma Action Plan
  • Beginning of Year Form (Annual Health Information)
  • Concussions
  • Dental
  • Diabetes Management Plan
  • Health Concern Transportation Form
  • Medical Plan of Care for Food Service for Students with Dietary Needs 
  • Medication Form
  • Physical Form
  • Seizure Action Plan
  • Self-Carry Forms for Inhalers and Epipens
  • Sunscreen Form
  • Vaccine Mandates (DOH)
  • Vaccine Free Clinics

Health Services Info

  1. Common Childhood Illnesses
  2. Immunizations
  3. Health Forms
  4. Medications
  5. Health & Wellness Checklists
  6. How To Wear & Care For Your Mask
  7. Meet The Nurses
  8. Health Services Screenings (PDF)
  9. Is your child too sick for school?
  10. Return to Health Service

It is the mission of the Ephrata Area School District to provide all students a secure learning environment and exemplary academic programs that inspire all students to reach their full potential.

803 Oak Boulevard | Ephrata, PA 17522
Phone: 717-721-1400 | Fax: 717-721-1514

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Superintendent: Dr. Brian M. Troop
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