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.

Screening Information

•Vision, hearing and scoliosis screenings will be completed on all 7th grade students on September 6th. Screenings will also be completed for any new students transferring from out-of-state schools, private schools or those whom have been home schooled.  Parents will be notified if a concern is found. If you do not want your child screened please send written notice to Susan Tuck RN by September 5th.

•If your child is not in the 7th grade and you have a concern in one of these areas, please call the school nurse.  We will gladly screen your student and provide you with the results.  



•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

Website by SchoolMessenger Presence. © 2017 West Corporation. All rights reserved.