Health Room Information

   Health Tech:  Linda Salgado  240-740-5762  Linda_Salgado@mcpsmd.org 

   School Nurse: Bonnie Wheeler  240-740-5762  Bonnie_Wheeler@mcpsmd.org 

Important Forms for Parents to Download

Please click on the following PDF forms, fill out, print and bring to the Health Room:

Authorization to Administer Prescribed Medication 

Authorization to Provide Medically Prescribed Treatment 

Emergency Care for the Management of a Student with a Diagnosis of Anaphylaxis 

 Student Record Health Card - SR-6 

EpiPen https://www.montgomeryschoolsmd.org/departments/forms/pdf/525-14.pdf

EpiPEn - Spanish   https://www.montgomeryschoolsmd.org/departments/forms/pdf/525-14_spanish.pdf

EpiPen - Amharic   https://www.montgomeryschoolsmd.org/departments/forms/pdf/525-14_amharic.pdf

EpiPen - French     https://www.montgomeryschoolsmd.org/departments/forms/pdf/525-14_french.pdf

EpiPen - Korean-   https://www.montgomeryschoolsmd.org/departments/forms/pdf/525-14_korean.pdf

 EpiPen - Vietnamese  https://www.montgomeryschoolsmd.org/departments/forms/pdf/525-14_viet.pdf

EpiPen Chinese    https://www.montgomeryschoolsmd.org/departments/forms/pdf/525-14_chinese.pdf