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Health Office and Forms

Our school health offices are here for you and your student every day of the school week. Our school nurses and clinic aides are available to administer first aid treatment for injuries, administer medication as needed, and perform other medical procedures.  They will evaluate symptoms of illness or injury of the students and recommend appropriate treatment.

Our health office staff has a passion for working with students and helping them feel their best so they are ready to learn. They collaborate regularly with teachers, counselors and district colleagues to best support students to maintain a healthy learning environment.

Required Forms for New Students

Immunization Information

Immunization Report — If you did not complete the immunization report for your student through the online registration system, please complete this form and submit it to your school, or submit an immunization report provided by your physician's office. 

Per Ohio law, new students (kindergartners and students new to the district) are required to have documentation of the state required immunizations on file at their school. Please be sure to submit the your child's immunization record to your school nurse as soon as possible. The state of Ohio allows a 14-day period after entrance to school to submit the immunizations. 

For the immunization requirements for students by grade level, please see:

2024-2025 Immunization Information for Enrollment

For questions about immunizations, or if your child needs additional immunizations, first contact your child's primary care provider. If you need to connect with a vaccine clinic, please visit these webpages for additional details and contact information:

Physician's Report (New Students Only)

Physician's Report — It is recommended that you complete and submit this form only for the first year that your child is enrolled in Upper Arlington Schools.

Additional Forms

New paperwork is required for each school year.  Please turn in paperwork and emergency medication to your school office or health office by the first day of school. Thank you for your help and cooperation in getting each school year off to a great start!

Please access the collection of forms for various health needs by clicking their name below.

School Health Offices

High School 

Jane Mead, M.Ed., RN, LSN
Email the UAHS Health Clinic
(614) 487-5278

Hastings 

Lisa Fleege, M.Ed., BSN, RN
Email the Hastings Health Clinic
(614) 487-5100, ext 4003

Jones 

Shannon Johnson, RN, BSN, LSN, M.Ed.
Email the Jones Health Clinic
(614) 487-5091

Barrington 

Joshua Bower, BSN, RN, LSN
District Lead Nurse
Email the Barrington Health Clinic
(614) 487-5180, ext 5003

Greensview 

Kerri Hart, RN, BSN, LSN
Email the Greensview Health Clinic
(614) 487-5050, ext 5517

Tremont  

Dawn Piccinich, RN, BSN, LSN
Email the Tremont Health Clinic
(614) 487-5170, ext 6003

Wickliffe and Windermere 

Janice Walsh, MSN, RN, LSN
Email the Wickliffe Health Clinic
Wickliffe Phone: (614) 487-5150, ext 6536 

Email the Windermere Health Clinic Windermere Phone: (614) 487-5060, ext 7003