School Health Forms - Welcome
Welcome, and thank you for using the Division of School Health’s Online Stock Requisition Form!
June 9, 2015 - Effective immediately, the only form available to order is the
School Health Record. All other forms will need to be printed by the school from
the Mandated School Health Services page of the School Health website, at this link,
All orders submitted since June 1st will be held until the start of the new fiscal
year in July and adjusted to meet the new process.
Please take a moment to review the information below, as it may help to expedite the ordering process.
- This form may only be used by Pennsylvania school nurses/personnel. The Division of School Health may not supply forms to any person or agency other than school
entities located in Pennsylvania.
- Please allow 4 – 6 weeks for processing and delivery when ordering health forms.
If you do not receive your order within 4 – 6 weeks, DO NOT reorder! Call the Division to confirm receipt and obtain the current status.
- Immunization cards must be ordered from the Division of Immunization at 717.787.5681.
Nurses located in Philadelphia must request Immunization Cards from “The JFK Center”
- Forms and manuals, not available for bulk order, are listed on their respective
pages of the School Health website, www.health.state.pa.us/schoolhealth (ex. Hearing
Screening Procedure Manual is now located on the School Health Screenings page under
Fields marked with an asterisk (*) are required.