Clinic Information

Health Promotion

As we are entering the cold and flu season, this is a reminder of the best health practices to decrease the spread and transmission of viruses in PWCS schools.

Please remember to cover your mouth and nose with a tissue when you cough or sneeze and throw used tissues in the trash. If you don't have a tissue, cough, or sneeze into your elbow, not your hands. Wash hands often with soap and water for 20 seconds, dry hands with a paper towel, and use the paper towel to turn off the faucet. If soap and water are not available, hand sanitizers may also be used to preform hand hygiene. Remember to stay home when you’re sick until at least 24 hours without a fever or the use of fever reducing medicine. Together we can help stop the spread of germs that may make you and others ill.

Nurse Holly holding a sign that says Keep calm and wash your hands. -Nurse Holly
Hi! I'm Nurse Holly Anderson and I am proud to be the School Nurse here at Alvey! I feel truly blessed to be able to care for your kiddos while they are here at school. My role as the School Nurse is simple...to support the health and wellness of students. This may be in the form of assessing and administering a child's inhaler during an asthma attack, ensuring the correct carbs are counted and insulin is given prior to a diabetic student eating a special birthday cupcake, or offering a "congratulations" to a student who has lost his or her first tooth! I am a Registered Nurse, received my Bachelor's of Science in Nursing in 2003, and my background includes Emergency and Trauma Nursing, Intensive Care (ICU) Nursing with an emphasis on wound care, Health Department Nursing with an emphasis on immunizations, and now working for Prince William County Public Schools (PWCS) here at Alvey. You can reach me by email at [email protected].

PWCS Health Forms

Below are downloadable forms. If your child has a health concern that will/may need to be addressed during school hours, please complete the appropriate forms. As a reminder, Health Treatment Plans (HTPs) need to be re-done annually (by both parent and health care provider) and should be brought to the clinic with any medications prior to the beginning of each school year. Students may not bring medication to or from school at any time without proper parental and physician written consent on file in the school clinic (updated annually).

School Entrance Health Form (PDF)-- Compete this if your child is new to PWCS. Also, be sure to get all his/her immunizations up-to-date and bring a record. A tuberculosis screening may be required and your health care provider can assist you with this if needed.

Asthma Action Plan Part 1- Virginia Asthma Action Plan (PDF)--Complete these 2 parts if your child has asthma.
Asthma Action Plan Part 2--Health Treatment Plan Authorization (PDF)

Allergy Action Plan Part 1 (PDF)-- Complete these 6 parts if your child has a life-threatening allergy.
Allergy Action Plan Part 2 (PDF)
Allergy Action Plan Part 3 (PDF)
Allergy Action Plan Part 4 (PDF)
Allergy Action Plan Part 5 (PDF)
Allergy Action Plan Part 6 -- Health Treatment Plan Authorization (PDF)

Seizure Action Plan Part 1 (PDF)-- Complete these 2 parts if your child has a seizure disorder.
Seizure Action Plan Part 2-- Health Treatment Plan Authorization (PDF)

Diabetes Medical Management Plan (PDF)-- Complete this DMMP if your child has diabetes and contact the School Nurse prior to the child coming to school to go over the plan.
Diabetes - Students with Insulin Pump and/or Continuous Glucose Monitors usage at school guidance (PDF)

Cancer Action Plan Part 1 (PDF)-- Complete these 2 parts if your child has cancer and contact the School Nurse prior to the child coming to school to go over the plan.
Cancer Action Plan Part 2--Health Treatment Plan Authorization (PDF)

Immune Compromised Children-- If you child is immune compromised (non-cancer related), no specific forms are needed, but please contact the School Nurse prior to the child coming to school.

Urinary Catheter Action Plan Part 1 (PDF)-- Complete these 2 parts if your child requires urinary catherization at school and contact the School Nurse prior to the child coming to school to go over the plan.
Urinary Catheter Action Plan Part 2--Health Treatment Plan Authorization (PDF)

Tube Feeding Action Plan Part 1 (PDF)-- Complete these 2 parts if your child requires tube feeding at school and contact the School Nurse prior to the child coming to school to go over the plan.
Tube Feeding Action Plan Part 2--Health Treatment Plan Authorization (PDF)

Medical Procedure Action Plan Part 1 (PDF)-- Complete these 2 parts if your child requires a medical procedure (not medication) at school that is not listed above and contact the School Nurse prior to the child coming to school to go over the plan.
Medical Procedure Action Plan Part 2 --Health Treatment Plan Authorization (PDF)

Medication Administration Authorization Form Part 1 (PDF)-- Complete these 2 parts if your child requires a medication at school that is not listed above (for example an ADHD medication that will be given daily at noon, an antibiotic that needs to be given mid-day for the next ten days, or a pain medication that may be needed due to a recent injury, etc.).
Medication Administration Authorization Part 2 --Health Treatment Plan Authorization (PDF)

Not seeing what you need? Contact me at my work email, [email protected] and I'll help! :) --Holly




PWCS Health Regulations and Other Useful Information

When to keep your child home from school--PWCS exclusion criteria (PDF)

Food and Nutrition--Homepage (PWCS website) Click on "special diets" for ingredient lists, nutritional analysis (including carbohydrate counts), and common food allergy lists for all food that is served at school.

Lice- Head Lice complete info for parents (Seattle Children's Website)
Lice- Head Lice 101, Information for parents (National Association of School Nurses Website)
Lice- Facts about Head Lice (PWCS Website)
Lice- Prevention and Treatment (PWCS Website)
Lice- Management in the school setting (PWCS Website)

Immunization--Virginia School Requirements (PWCS Website)
Immunization--Recommended Vaccines, Easy to Read Chart ages 0-6 years old (CDC Website)
Immunization- Recommended Vaccines, Easy to Read Chart ages 7-18 years old (CDC Website)

Allergy and Asthma Network (Website)

PWCS Student Health Services Program (Website)
PWCS Regulations and Policies (Website)


Not seeing what you need? Contact me at my work email, [email protected] and I'll help! :) --Holly

Hearing and Visions Screening

Hearing and vision screenings are mandated by the state of Virginia and will be completed for all students in kindergarten, third, seventh, and tenth grades as well as all new students to PWCS . Parents/Guardians will be contacted if a student fails his/her screening.