Click the link to download the forms

School Forms

Check here for commonly needed forms for Virginia and Washington DC. Capital Area Pediatrics charges $10.00 per school form.

• Virginia School Entrance Form. Page 1 should be completed by you. Please complete this TB questionnaire for the provider to complete your form.  
• VHSL Sports Form (High School Sports). Please print and bring all 4 pages to your appointment. Page 2 must be completed prior to the visit. The provider must review page 2 before completing the form.
• Maryland State Health Inventory Form.  Part 1 should be completed by you.
• Washington DC Health Form for school entrance. Part 1 should be completed by you.
• Arlington County forms:
  • Medication Administration Form
  • TB Risk Screen Form
• Alexandria City Public School Forms
• Fairfax County forms:
  • Medication Authorization Form
  • EpiPen Authorization Form
  • Inhaler Authorization Form
• Falls Church City Preschool Forms
• Loudoun County Medication forms
• Prince William County Medication Authorization Form
• Washington DC Medication Authorization Form
• Boy Scouts Form.  Please fill out Parts A and B and bring to your appointment.  The provider must complete Part C.