Campus Life
Campus Services

Health & Wellness

Health Forms & Information

As you prepare for the 2016–17 school year, please refer to this information, as well as the forms to the right.

Our requirements are consistent with both Maryland State law and our commitment to encouraging good health and well-being for our students. As your son’s information will be submitted in various forms, we thank you in advance for your patience and close attention to detail. Please note that health information documents requiring the signature of a physician must be submitted on paper. All students are required to provide health forms prior to or during orientation. Students trying out for fall sports must submit forms prior to or on the first day of practice.

Required Health Information & Forms:

Medical History and Physical
Physicals for the 2016–17 school year should be completed between May 1 and orientation. The two-page document gives the school a summary of your son’s medical history and his present physical well-being. A copy is enclosed; it is also available online. Students trying out for fall sports must submit health requirements prior to or at the first day of practice. If your annual insurance-provided physical is not available until after the start of the school year, we suggest these low-cost alternatives.

All students must submit a copy of their immunization record. If there are new immunizations or boosters, a new form should be sent to Loyola.

Other Forms (if applicable):

Over-the-Counter Medication Consent (not required, but recommended)
Completion of this form allows the School Nurse to administer over-the-counter medications to your son to alleviate symptoms such as headache, upset stomach, etc.

Prescription Medication Consent
This form permits the School Nurse to administer prescription medications that your son takes during the course of a school day. One form for each prescription must be provided and signed by a doctor.

Health Action Plans
If your son has a condition such as severe allergies, asthma, diabetes or seizures, please submit a Health Action Plan form. This document provides specific information to help facilitate the appropriate actions in the event that your son requires treatment while at school.
Forms may be dropped off over the summer to the Health Form Drop Box located in the Dean of Students’ Office in Knott Hall. Please do not hand-deliver forms to anyone. Forms also may be mailed to:

Loyola Blakefield
School Nurse
P.O. Box 6819
Baltimore, MD 21285-6819.
500 Chestnut Ave. Towson, MD 21204
Ph: 410-823-0601