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Health Forms

To ensure the health and safety of all students enrolled at Admiral Farragut Academy, an annual physical exam and clearance from a health care provider is required.  Physical exams on file may not be older than 12 months at any given point during the school year for a day or boarding student to participate in physical education, athletics, club and other school activities on and off campus.  

Additionally, a Prescription Medication Authorization form must accompany any prescription medications to be administered by the Health Center nurses or their designee.  The first dose of any prescription medication should, if possible, be administered at home. 

The required Health forms are:

Supplemental Health Forms to be completed if applicable:

  • If your child has food, insect or other allergies requiring emergency medication such as diphenhydramine (Benadryl) and/or epinephrine (Epipen), please have your child’s health care provider complete and sign the
  • If your child has asthma requiring emergency medication such as an albuterol inhaler, please have your child’s health care provider complete and sign the

Completed forms should be returned to the Health Center 

no later than Monday, August 1, 2022.

If you are unable to meet the August 1st deadline, please contact the Health Office via email, nurse@farragut.org, and it will be noted in your child’s file.

Completed forms can be:

  • Emailed to nurse@farragut.org or
  • Faxed to 727- 384 -1132 or
  • Hand delivered to AJ Barmmer in the DeSeta Hall reception office.

As an FYI, the following Health forms along with some other non-health school forms will be sent to you via email and should be electronically completed, signed and submitted.  You DO NOT need to print and complete the forms below.. This is only for your information.  Please complete and submit electronically when received.

  • Consent to Treat
  • Health Summary
  • Authorization for Over-the-Counter medications

Please feel free to contact me with any questions or concerns.

Suzanne Douglass, RN, BSN

Director of Health Services 

Admiral Farragut Academy

nurse@farragut.org

727-384-5506

Admiral Farragut Academy welcomes candidates for admission or employment, regardless of race, color, religion, sex, national origin, age,
disability or genetics and does not discriminate on the basis of any category protected by law in the administration of any of its programs.
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Discover your child's limitless potential with our strong academic and signature programs.
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Discover your child's limitless potential with our strong academic and signature programs.
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The First Day of School is August 18, 2021!
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The First Day of School is August 18, 2021!