St. Bernadette Catholic School Coronavirus (COVID-19) Updates | Click Here







Angela Koucheravy has been the school nurse at St. Bernadette School since September 2014. Prior to coming to St. Bernadette, she was an operating room nurse in a hospital. She is currently a member of the National Association of School Nurses and volunteers with Fairfax County’s Medical Readiness Corps.

The school clinic is located across the main hall from the school’s front office.


Contact Information


Telephone: (703) 451-8696, ask for the clinic or extension 128

Email: This email address is being protected from spambots. You need JavaScript enabled to view it.

Fax: 703-269-1116



Please click on name of information or form below to be directed to it.


Virginia Health Requirements for School Entry

School Health Policies (pp. 60-66 of Parent/Student Handbook)

Health Forms for Enrollment (all are required):
School Entrance Health Form (MCH-213G)
Confidential Student Health History Update

• Report Of Dental Examination

 Health Forms for Severe Allergies (all are required):
Severe Allergy/Anaphylaxis Action Plan & Treatment
Epinephrine Authorization
Antihistamine Authorization

Form for Food Allergy Other than Nuts

Health Forms for Asthma (both are required):
Virginia Asthma Action Plan
Inhaler Authorization Plan

Form for Medication Administration during the School Day (OTC and prescription)

Health Forms for Diabetes (all are required):
Diabetes Medical Management Plan
Quick Reference Emergency Plan
Medication Authorization form

Scoliosis: Information and In-Home Screening (for 5th – 8th grade students)


Illness Guidelines Summary

For the health of your child, other students, and school staff, it is important to know when your child should stay home due to illness. Students should stay home if they have the following symptoms:

• Fever of 100.0 F or higher in the last 24 hours

• Vomiting or diarrhea within the past 24 hours

If your child was diagnosed with a bacterial infection and prescribed antibiotics, they should stay home until the antibiotic has been given for at least 24 hours and the physician has given permission for your child to return to school.

We encourage you to follow your physician’s recommendations for returning to school and other activities.


Students with fevers and/or other contagious conditions will be sent home promptly and must stay home from school while in that condition. Parents must pick up their sick or injured child in a timely manner when contacted. If the parent cannot be reached, emergency contacts will be called to pick up the child.

Please see the Parent/Student Handbook for more guidance.


Calling Attendance to report your student’s absence due to illness

Please give a brief description of symptoms such as “fever” or “vomiting” or give the doctor’s diagnosis if you have one.


Administering Medications to Students at School

All doses of mediation should be administered by parents/guardians during non-school hours whenever possible and appropriate.

There are times when students require medications and/or treatments during the school day. These medications and treatments may be managed differently at school than families may manage them at home. The reasons for the rules and policies that guide medication management here at school are for safety and are legally dictated.

Prescription medications can be given to children at school only with a physician/other authorized medical provider’s written order or prescription and a signed request by the parent/guardian given on the Medication Authorization Form. Non-prescription/over the counter medications can be administered to students only with written permission from the parent/guardian on the Medication Authorization Form (see link to copy of form above).

All medication must be brought to school in its original container.


Life threatening allergies and medical conditions

Parents must supply the school with any emergency medications prescribed by their child’s doctor, along with forms signed by both the doctor and the parent. Parents can also provide the school with “safe” food for classroom celebrations involving food if their child has a life-threatening food allergy.


Tdap Immunization Requirement for Rising 7th Graders

Virginia law requires that all students entering 7th grade have a tetanus, diphtheria, pertussis (Tdap) booster immunization prior to the first day of 7th grade. These students may not attend school without documented proof of having had this dose.


Screening for Kindergarten, 3rd, and 7th Graders

Virginia law requires that all students in kindergarten, 3rd grade, and 7th grade have their hearing and vision screened within 60 business days of the first day of school. These screenings will be conducted at no cost to you during the school day and with your consent. If a potential concern is discovered, the parent/guardian will be contacted with a recommendation for further testing.


Scoliosis Information for Parents of 5th – 8th Graders

Information will be provided to parents of students in grades 5 through 8 within 60 business days after the opening of school each year. This information will include a definition of scoliosis, a description of how scoliosis is identified, a statement of why it is important to screen for the condition, a description of the types of screening procedures, a description of potential treatments for the condition, and information about where screening can be obtained.


Health Promotion Resources

Nutrition – My Plate
Vaccines & Immunizations (CDC)
Fitness for Children (CDC)
Poison Control (National Capital Poison Center)
Concussion Resources (CDC)






Last modified on Tuesday, 11 August 2020 09:55