Health Procedures & Forms

Health Procedures

Students may not possess, dispense, or distribute medication on their own. Prescription medicine must be accompanied with a physician order and dropped off by the parent or guardian. The medicine should be brought to school in the original container and include the name of the medicine, directions for use, time, strength, dose, name of ordering medical provider, and student’s name and grade. At the end of the school year, all medications must be picked up by the parent/guardian by the last day of school. Medicine not picked up will be disposed of.

Students are allowed to carry emergency medication such as an EpiPen or a rescue inhaler but need an order from the doctor allowing them to do so. The form Physician Instructions for Prescribing Medication is used and the box that says student may carry and self-administer medication is checked off.

All over-the-counter medicine provided in the health room is listed on the form Consent for Over-the-Counter (OTC) Medication. This form must be signed by both the parent and health care provider to be valid. The form needs to be renewed every school year.

Procedure for students who become ill during the school day
Students who become ill during the school day should report to their teacher prior to reporting to the health room. Once treated, the student will be given a pass to present to his teacher upon returning to class. Students whose illness cannot be treated expeditiously by the nurse will have their parents notified by the nurse so that they may be picked up and taken home or to their physician. Students may not contact their parents and/or leave campus without release notification by the nurse. If your son drives to school and needs to leave early due to illness, both verbal and written permission from the parents to the nurse is needed in order to release your son. A fax (410-646-6220) or an email ( should be sent by the parent to the nurse allowing their son permission to leave school early and drive himself home.

Please keep your student home when...
Any student with a temperature greater than 100 degrees should be kept at home until he is fever-free for 24 hours without the use of fever reducing medicine such as Tylenol or Ibuprofen. Students should also be kept home if they have vomited two or more times, has diarrhea or severe pain.

Health Forms

  • Student Physical
    All NEW students must have a summer physical done after May 12, 2020 and send the physical, along with a current immunization record, to the school nurse by August 18, 2020.  Please send all health forms electronically to Mrs. Pam Bezirdjian, School Nurse to  Pediatricians are encouraging parents to schedule appointments for well-child visits and vaccines.  Pediatric practices have implemented many strategies to make acute and routine care of children as safe as possible during the COVID-19 pandemic.  We encourage you to contact your son’s pediatrician now and make an appointment for this summer. 

    Returning sophomores, juniors and seniors do not require an annual physical unless they are playing a sport.  Please continue to update the school nurse for any new medicine, allergies, hospitalizations, and/or medical diagnosis your son has since his last physical.  Please use the front page of the Student Physical form to update changes and email to

    Students playing a sport are required to have a current physical on file with the school nurse prior to tryouts.  Physicals are valid for one calendar year and cannot expire during the sport season.  Please check the athletics page for current announcements regarding our sports programs. 
    If you have any questions or concerns, please contact Pam Bezirdjian, School Nurse, at 410-644-3300 or
  • Immunization Form
    Maryland Department of Health and Mental Hygiene Immunization Certificate is REQUIRED of all new students, including all freshmen and transfer students. The form needs to be current and comply with the State of Maryland immunization regulations. New students must have their current immunization record on file in the Health Room by the first day of school or first day of orientation. Students who do not comply with this may be held from attending classes.
  • Post-Concussion Return to School Form
    This form is to be completed by a health care provider following a concussion diagnosis. The form must be returned to the nurse on the student’s first day back to school.
  • Physician Instructions for Prescribing Medication in School
    This form is mandatory for any student that will need prescription medicine during the school day.
  • Over-the-Counter Medication Consent
    This form is required if you want your son to receive any over-the-counter medicine while in school. The form needs be renewed every year and must be signed by a health care provider as well as the parent to be valid. The school nurse can’t dispense medicine without this form.
  • Food and Allergy Care Plan
Health forms can be submitted by fax to 410-646-6220 or mailed to: Mount Saint Joseph High School, Attention: Health Room, 4403 Frederick Avenue, Baltimore, MD, 21229.

Mount Saint Joseph High School

Mount Saint Joseph is a Catholic, college preparatory school for young men sponsored by the Xaverian Brothers.