The nurse for SRMS is Susan Tuck RN

Click link below to get to form

School Entrance Health Form

Immunization Requirements

Medication Authorization Form

Non-aspirin Pain Reliever (TYLENOL) Form

                                       Tdap immunization information                                          

Welcome to the Staunton River Middle School Clinic. If you have any questions or concerns related to the health needs of your child do not hesitate to contact me.
My office hours are 8:30-4:00

As per each year, all paperwork for medication administration, care plans, emergency cards, etc. are only valid for the current school year.  New forms must be filled out each school year & returned to the school office or clinic. If a child has a medical condition, it is the responsibility of the parent/guardian to contact the clinic and obtain the required paperwork.  It is extremely important that we have medical procedures/guidelines documented for your child in order to meet their health care needs.

Medication forms and care plans are effective for one school year. If you have not already turned in the medical paperwork  please contact Susan Tuck RN in the school clinic for assistance in getting the proper paperwork for the new school year.

Health and Safety Information:

  • The flu season is in full swing and prevention is definitely the tool of choice.
  • Remember good hand-washing and healthy lifestyles are the top two rules of prevention!  This would include a good eight hours of sleep each night, a healthy and balanced diet along with plenty of water and regular exercise.  A daily dose of fresh air is always a plus!
  • If the flu should catch up with you, increase your rest and your fluids.  Treat symptoms with over-the-counter medications.  Above all, do not share your flu!  Stay home until fever free for 24 hours.

Screening Information

  • In regard to well-being of your child, some of you may receive phone calls relating to the screening letters sent home in October.  We need to follow-up on the status of the vision, hearing and scoliosis referrals. 
  • All children having received a scoliosis referral letter must be seen by a physician and a return letter must be given to the school either confirming the scoliosis or not. 
  • Students having received a vision referral letter are strongly recommended to seek an eye exam done by an eye doctor.  Our method of testing is not as accurate as that of a professional eye exam.  Your child’s eyesight will directly affect his/her ability to work well both in and out of the classroom setting.


 •If your child is on medication please request a separate bottle from the      pharmacy for the school clinic. All medicine must be in the original            container.

•Parent or guardian must administer the first time dose of any new        prescription medication or any over the counter medicine that the child  has never taken before. The parent should be in close supervision of the  child for at least 12-24 hours to detect if any serious reactions occur.    New medication should not be administered for the first time at school. 

•Please do not send medication with the child.  A parent/guardian needs  to bring medicine to school.

•Physician authorization is required for all prescriptions, herbal  medication & doses different than label.   Medication will be administered as instructed on box, unless accompanied with a physician’s order instructing to do differently.

•A parent or guardian signature is required before medication will be  administered.

•Medicine must be picked up at the end of the school year; medicine not  picked up will be discarded.

•The Authorization to Administer Medication form is only good for one    school year.

•Any changes in prescription medication dosage must have a physician’s  order.  Each medication requires its own medication form.

•Acetaminophen (middle and high only) and emergency use  Antihistamine are available in the school clinic providing there is written  parent permission on file.

•Parent maybe contacted by the nurse if Acetaminophen is requested  more than twice in one week.


Clinic Hours: 8:30 am to 4:00 pm

Phone: (540) 297-4152

Fax: (540) 297-4076

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