Health Center

The Health Center is staffed 24 hours a day, 7 days a week when school is in session. A Registered Nurse is on-call for the three long weekends during the school year and can be reached for emergencies only at 302-540-3003.

When sending medications to the school, it is required by the State of Delaware that they are mailed directly to the Health Center. Do NOT send them to or with the student.

Health Center Topics

Allergies (such as food, medication, seasonal, and other)

If your child requires the use of an EPI-PEN for their allergy, an Anaphylaxis Emergency Action Plan must be on file. Please ask the physician to provide this plan. Upon approval by the Heatlh Center, the student may keep an Epi-Pen in their room. A spare Epi-Pen will need to be kept in the Health Center for your child.

Allergy Injections will only be administered to students under the care of an allergist. Changes and additions to immunotherapy schedules must be handled in an allergist’s office. The allergist must give the initial allergy injection. There will be a $10 charge for each injection administered by the Health Center nurse.

Food Allergies – if your child is allergic to food, it must be listed on Page HCF-1 of the health forms. The Health Center shares this information with the Dining Hall chef.

Medication Allergies – if your child is allergic to medications, it must be listed on Page HCF-1 of the health forms. This information is shared with our medical providers.

Seasonal Allergies – if your child suffers from any seasonal allergies, please list it on Page HCF-1 of the health forms. Please note that it is not uncommon for a student who has never suffered from seasonal allergies to experience them during the fall and spring.

Other Allergies – if your child suffers from any other allergy besides food, medication or seasonal, please be sure to list them on Page HCF-1 of the Heatlh forms.

Annual Physical Examination Requirements

As required by the State of Delaware, ALL students must receive a physical examination between April 1, 2015 and July 1, 2015. The medical doctor (MD), doctor of osteopathy (DO), physician’s assistant (PA) or nurse practitioner (NP) is required to complete and sign several of the health forms. A checklist has been provided with the forms as a guide for the forms that need to be signed by the medical provider.

While we understand that health insurance may not cover a physical examination if completed before the one-year mark, we ask that you move forward with getting your child’s physical examination by either paying out-of-pocket (without using insurance) or visit your local medical aid unit/emergency room/clinic where you could pay a flat fee.

Please note that it is NOT acceptable for students to arrive on campus without a physical examination and incomplete health forms. We appreciate your understanding and cooperation in meeting the deadlines and requirements.

Asthma Information & Action Plan

If your child has a history of asthma, an Asthma Action Plan must be on file. Please have your physician complete the Asthma Action Plan form, which is included in the health forms.

Upon Health Center approval, students may keep inhalers in their room. A spare inhaler will need to be kept in the Health Center for your child.

Contact Lenses / Eyeglasses

Please send an extra pair of eyeglasses, contact lenses, or current prescription for new lenses with the student, in the event that eyeglasses and/or contact lenses become broken, lost or torn.

Flu Vaccine & Info Pertaining to Flu

Since our students and faculty live and breathe in such close proximity of each other, the nurses at the Health Center offer and administer the flu vaccine each fall term (end of September / beginning of October) under the direction of the School Physician. Each year, we strive for a healthy campus and in order to ensure that, we highly recommend that all students receive a flu vaccine. In a boarding school atmosphere students share everything, including their illnesses! Please help us keep our students healthy!

During flu season, the Health Center may reach full capacity; on these occasions, students who reside in the tri-state area may be sent home to recuperate.

Students who receive the flu vaccine from the Health Center will be charged a fee of $10, which will be billed to the students’ miscellaneous billing account. Parents/Guardians must fill out and sign the Flu Vaccine Form that is included in the health forms. Please note that the Health Center does NOT administer the flu mist (nose spray). We only offer the flu vaccine that is injected into the arm.

If the student prefers to receive their flu vaccine at home, whether it is before school starts or during the long weekend in October, the Health Center requires documentation from the medical provider as to which vaccine the student received and the date that it was administered.

For a copy of the 2015-2016 Influenza Vaccine Information Statement, please visit http://www.cdc.gov/vaccines/hcp/vis/index.html.

Health Equipment

Students may borrow equipment from the Health Center (i.e. heating pads, crutches, etc.). If the borrowed equipment is not returned or is damaged upon return, the cost will be charged to the students’ miscellaneous billing account.

Insurance Requirements & Information for Domestic and International Students

Out of concern for the health and welfare of all our students, St. Andrew’s School requires that every student be covered by a comprehensive injury and sickness plan, one that meets the high cost of medical services and is accepted by our local medical providers.

While most American families are insured under managed care programs (HMO’S, PPO’S, etc) such “network plans” often create severe cumbersome administrative problems and procedures. These plans may not provide coverage for your child when away from home, and if they do, you are faced with up-front deductibles and co-payments not required when your child is home.

When contacting your insurance company, please refer to our Medical Resources Contact List for the medical providers (i.e. doctors, dentist, orthodontist, labs, etc.) that we use in our area. The Health Center only uses our local medical providers (we cannot and will not make appointments and transport students to medical providers of your choice).

Insurances Offered through SAS – For those parents/guardians whose medical insurance does not provide adequate away from home coverage for their child, St. Andrew’s School offers two different kinds of insurance plans.

PLAN I

The Student Injury and Sickness Plan underwritten by United Healthcare Insurance provides primary, first dollar benefits for students who do not have any insurance or whose coverage is not accepted outside their geographical area. This Plan provides coverage for 10 months (August 15, 2015 through June 15, 2016) for $2,055.00 USD. Some of the benefits that this plan provides are as follows: zero deductible; coverage of pre-existing conditions; doctor’s visits covered at 100% of usual and customary charges; and prescription drugs covered at 100% up to $2,000 annually.

To sign up for this Plan, please complete the bottom portion of the “Health & Accident Insurance for 2015-2016” form, which is Page HCF-2 of the Health Forms. If you have questions regarding this plan, please contact the Health Center at 302-285-4240 or via email: healthcenter@standrews-de.org.

PLAN II

The Student Accident Insurance underwritten by A.W.G. DEWAR, Inc. is a supplemental plan that offers coverage for accidental bodily injury from September 6, 2015 through June 4, 2016 for $100.00 USD. If your child participates in sports and/or is prone to accidents, we highly recommend this plan. There is no limit on the number of accidents covered during the policy period. The plan will pay 100% of eligible expenses incurred for medical services up to $2500 for each injury. Claims are submitted by the Health Center. Since this Plan is a supplemental plan, it cannot be purchased and/or used as primary health insurance coverage.

To sign up for this Plan, please complete the bottom portion of the “Health & Accident Insurance for 2015-2016” form, which is Page HCF-2 of the Health Forms. If you have questions regarding this plan, please contact the Health Center at 302-285-4240 or via email: healthcenter@standrews-de.org.

Away From Home Coverage

As a parent/guardian, it is your responsibility to contact your insurance company to discuss what medical benefits will be curtailed and what deductibles and co-payments will be required when your child receives care away from home. Please contact your insurance company to see if they provide “away from home” care coverage for your child while they reside at SAS.

When the parent/guardian determines that their medical insurance provides adequate away from home coverage for their child, they will need to complete the top portion of the “Health & Accident Insurance for 2015-2016” form, which is Page HCF-2 of the Health forms.

HMO or MEDICAID Plans

If your insurance is a HMO plan, your child is only able to be treated by the primary care physician listed on your policy. Therefore, if your child will require medical attention while at school, they will be taken to the local medical aid unit or emergency room.

MEDICAID plans do not provide adequate coverage outside of their home state. If you have a Medicaid plan, please contact the Health Center to discuss coverage options for your child.

International Students Insurance Information

If you have international insurance that provides domestic (US) claim coverage, you must provide a United States address and phone number for this insurance carrier. Since our medical providers do NOT accept international insurances that have international addresses and phone numbers, we recommend that you purchase the Plan I insurance through SAS or from a reputable insurance company. Travel insurances are NOT accepted due to inadequate medical coverage.

Insurance Cards Requirements

The Health Center is required to fax a copy of the front and back of all pertinent insurance cards, as well as the Student Information & Medical Authorization form (Page HCF-1 of the Health forms) and the Insurance and Care Provider Information form (Page HCF-3 of the Health forms) to the medical provider prior to the student’s visit. It is very important that you write legibly and provide us with the information requested on all forms, including an ENLARGED copy of the FRONT and BACK of all insurance cards (health, prescription, and dental). The Health Center will accept the actual insurance card(s), if you prefer to obtain an extra card(s) from your insurance company.

It is also the responsibility of the parent/guardian to obtain referrals if/when needed, as well as follow through with all insurance paperwork; this includes the submission of claims.

Insurance Changes During the School Year

If your insurance changes at any time during the school year, it is the parent/guardian’s responsibility to send us the updated insurance information. We require an enlarged copy of the front and back of the new/updated insurance card(s).

Medical & Specialty Appointments

The Health Center will make appointments and provide transportation for any visits to physicians for illness or injury. Our medical providers give us the first available appointment; however it does not guarantee same day service. We request that parents make arrangements for any visits to sub-specialists such as a dermatologist, ear, nose and throat (ENT), cardiologist, pulmonologist, allergist, etc. while the student is at home or during school breaks. If a student has an appointment at home while school is in session, the parent must notify the Health Center AND the Dean’s Office prior to the date of the appointment.

The Director of Health Services has the authority to deny requests for transportation to medial providers that create a disruption to the daily operations of the Health Center. Non-urgent speciality appointments will be arranged secondary to the daily operations of the Health Center and only when said appointment cannot take place at home. A $5 transportation fee per appointment may be billed to the student’s miscellaneous billing account for all specialty appointments within the Middletown area, including physical therapy and chiropractic services.

In the event that your child needs to see a specialist and a referral is needed from the Primary Care Physician, it is the responsibility of the parent/guardian to make the necessary phone calls before the appointment can be made for the student.

Medical Resources Contact List

Medication Requirements & Information

PRESCRIPTION MEDICATION REQUIREMENTS

The State of Delaware requires that:

  1. ALL prescription medications are kept in the Health Center.
  2. ALL prescription medications must be in their original containers.
  3. A written order from your physician accompanies the medication(s) if the directions on the container are different than the actual prescription(s).
  4. Any subsequent changes must also be accompanied by a written physician’s order.

Whether the student is arriving on campus for the beginning of the school, returning from a school break, illness/injury, or medical leave, all prescription medications must be turned into the Health Center immediately.

All prescription medications are to be kept in the Health Center. The nurses in the Health Center dispense these medications at meal times. These medications must be in their original containers according to the State of Delaware regulations. If the directions on the container are different than the actual prescription, please supply a written order from your physician with changes. Any subsequent changes must also be accompanied by a written physician’s order.

Upon Health Center approval, students may keep topical medications, inhalers, and Epi-Pens in their room.

CONTROLLED MEDICATION REQUIREMENTS

Students are not permitted at any time to keep controlled medications (narcotics, ADD medications or anti-anxiety agents) on dorm. An accurate count of any and all controlled medications is to be provided by the parent or guardian before dropping these medications at school and/or returning these medications to school from all breaks.

The student will be held accountable for turning in any and all medications to the school nurse as soon as they arrive on campus. When sending controlled medications home over school breaks, the nurse will email the parent or guardian the exact count of what is being given to the student. When any controlled medications are being sent back to school with the student, the parent or guardian must email the Health Center with an exact count of what is being returned.

LOCAL PHARMACY

Our primary pharmacy is Acme Sav-On Pharmacy located at 460 East Main Street in Middletown. Phone: 302-449-1868 Fax: 302-449-1876.

ACCUTANE THERAPY

Students on Accutane Therapy must provide the Health Center with monthly prescriptions for routine lab work and medication refills. If a student will be seeing a Delaware dermatologist, parents should make appointments in advance and inform the Health Center of the date and time of the appointment. The Health Center will provide transportation, if necessary and the student will be charged accordingly.

MEDICATIONS DURING SCHOOL BREAKS

During school breaks, all medications are sent home with the student. If there are any medications that the student and/or parent/guardian does not want sent home, please notify the Health Center in a timely manner. It is responsibility of the student/parent/guardian to turn in the medication(s) to the Health Center upon returning to campus.

OVER THE COUNTER (OTC) MEDICATIONS

The following over the counter (OTC) medications are allowed on dorm in small supply: Tylenol or Ibuprofen, menstrual cramp medication, OTC allergy medications such as Claritin or Zyrtec.

Vitamins, Tums and homeopathic agents are permitted on dorm; however, it must be approved by the Health Center first.

Over the counter medications NOT allowed on dorm are: aspirin, Pepto-Bismol (or any bismuth subsalicylate products), daytime or nighttime medications such as NyQuil or DayQuil, products containing pseudoephedrine such as Sudafed, cough medications such as Robitussin. If any of these medications are needed during the year, they must be administered by the school nurse in “to go packs.”

In certain instances, exceptions may be made to the general policies but ONLY with the permission of the Director or Associate Director of the Health Center.

Potassium Iodide Information

Potassium Iodide (KI) is a form of iodine and found in iodized table salt. If taken in time and at the appropriate dosage, KI protects the thyroid gland from radioactive iodine and reduces the risk of developing thyroid cancer as a result of exposure to radiation released during a severe nuclear emergency.

In the event of any radiation threat or exposure, students will be given potassium iodide (KI) only if directed by a public health official. Everyone, including children and babies, can take KI except those who are allergic to iodine or have rare disorders such as dermatitis herpetiformis or hypocomplementericvascultitis.

During a nuclear emergency, people can breathe in or swallow radioactive iodine. Once inside the body, the radioactive iodine can cause a variety of health effects. The thyroid gland is very sensitive to radiation. KI can prevent the risk of developing thyroid cancer as a result of exposure to radioactive iodine, which is especially important for children. While KI can help to protect the thyroid gland, it cannot protect against other health effects caused by radiation.

KI has few side effects. Children are not at a higher risk of side effects. Side effects usually happen when people take more doses than needed. Possible minor side effects are skin rashes, swelling of the salivary glands, metallic taste, burning mouth, sore teeth/gums, stomach upset, diarrhea, and headaches. If you have severe side effects or a severe allergic reaction, call a doctor or go to the nearest hospital.

For those who have a known or suspected allergy to iodine and/or rare disorders such as dermatitis herpetiformis or hypocomplementernic vasculitis, please consult with your child’s doctor before giving consent for them to receive KI.

All parents/guardians are required to complete and sign the Potassium Iodide Tablets section of the Health Forms, which is Page HCF-4.

For additional information regarding KI, please contact your local pharmacist or healthcare provider.

Sick and/or Injured Students

Students are admitted to the Health Center when they are at risk of spreading infection to other students or are sick/injured enough to warrant monitoring by a nurse. Parents/guardians will be notified when students are admitted to the Health Center for longer than 24 hours.

When a student is returning to school after being home due to illness or injury, the student must check in with the Health Center FIRST, before resuming to school activities or returning to dorm.

It is important for the parents/guardians to notify the Health Center, if students become sick, injured, hospitalized or receive surgery at any time after the submission of the health forms or during a school break.

If a student needs medical attention from one of our medical providers, the Health Center will contact the parent/guardian.

CONCUSSIONS

Whenever a student has a head injury, they are required to be seen by a medical physician. If a student is diagnosed with a concussion, they may be required to take Medical Leave so that they can recover at home. For additional information, please refer to the Medical Leave section.

COSTS INCURRED FOR MEDICAL CARE

Use of the Health Center is inclusive under tuition and fees; however, parents/guardians are responsible for any and all medical expenses incurred while students are in school. These expenses include doctor and dentist appointments, transportation to and from these appointments that are outside of the Middletown area, prescription medications, certain over-the-counter medications (i.e. Abreva, Zyrtec), hospital charges, physical therapy, and testing costs (lab work, x-ray, etc.).

LINGERING SICKNESS

If a student admitted to the Health Center requires more than 2 days of 24 hour care, the Director of Health Services may require that students residing in driving distance be sent home to continue care under the supervision of their parent/guardian.

MEDICAL LEAVE

Medical Leaves are intended to address the student’s health, which is the priority, and to provide the necessary amount of time for the important recovery process. Medical leaves are always open-ended since we do not know or cannot predict when the student will be well enough to return to school. The final decision regarding when a student may return to school rests with the Director of the Health Center. Please note that specific guidelines and requirements are listed in the Medical Leave protocol form, which will be given to the parent/guardian if/when the student is sent home on medical leave.

SURGERIES & HOSPITALIZATIONS

All students are required to recover from any and all hospitalizations, surgeries or serious illnesses at home. This is to protect the recovering student from being exposed to potentially infectious diseases. The Health Center is not staffed for post-surgical or long-term care.

TRANSPORTATION FOR MEDICAL CARE

Our school driver or staff member will transport students to necessary appointments.Transportation costs for outside the Middletown area are as follows: $35 for the Hockessin, Wilmington, Newark, Glasgow, Smyrna and Dover area; $50 for the Philadelphia area; and $80 for the Baltimore area.

SCHOOL PHYSICIAN

Physicians are available to the students by appointment only at their offices. Please refer to the Medical Resources Contact List for the medical providers we use during the school year.

Our school physicians, Dr. Gerard Kuhn, Dr. Laura Lundgren, Dr. Elizabeth Crowe, and Dr. Sumathi Sundar of Nemours Pediatrics Middletown (a satellite office of the Nemours Alfred I. DuPont Hospital for Children), requires all parents/guardians to complete three forms prior to treatment. These forms (Patient Presents for Appointment Without Legal Guardian Authorization for Treatment; Assignment of Benefits, Other Health Insurance, Patient Responsibility; and Authorization for Treatment and Release of Information for Treatment, Payment and Health Care Operations Purposes, Receipt of Nemours’ Notice of Privacy Practices) will be emailed or faxed to the parent prior to the medical appointment for their child. Nemours Pediatrics will not see the student until they are in receipt of these forms. 

Vaccines/Immunization Requirements & Recommendations

REQUIRED VACCINES/IMMUNIZATIONS

As required by the State of Delaware, ALL students attending St. Andrew’s School must have the following vaccinations/immunizations:

  • 4 doses of any combination Diphtheria, Tetanus, Pertussis (DTaP, DT, Td). A Tdap booster should be given if the last tetanus containing vaccine was at least 5 years prior.
  • 4 doses of Polio Vaccine (3 doses if the 3rd dose was given on or after the 4th birthday)
  • 2 doses of Measles, Mumps, Rubella (MMR) Vaccine on or after 12 months ago
  • 3 doses of Hepatitis B Vaccine
  • 2 doses of Varicella vaccine (unless history of disease)

If the student is missing vaccines, the parent/guardian will be contacted by the Health Center. It is the responsibility of the parent/guardian to comply with the State of Delaware and SAS for these required vaccinations/immunizations. If requested by the parents/guardians, the Health Center will arrange for the student to receive the missing vaccine(s) by a medical provider and the parents/guardians will be responsible for all costs incurred for the vaccine(s).

RECOMMENDED VACCINATIONS/IMMUNIZATIONS

The following vaccinations / immunizations are recommended but are NOT required:

  • 2 doses of Hepatitis A Vaccine
  • 2 doses of Meningitis Vaccine
  • 3 doses of Human Papillomavirus Vaccine (HPV)
  • 1 dose of Tetanus, Diphtheria toxoids with acellular pertussis (Tdap) Vaccine

For additional information about these recommended vaccinations, please go to: http://www.cdc.gov/vaccines/hcp/vis/index.html.

TRAVEL VACCINATIONS/IMMUNIZATIONS

A medical provider will give any travel vaccinations/immunizations that are requested by the parents/guardians. Parents/guardians will be responsible for the cost and travel charges incurred.



Are you a NEW student?

All NEW students must submit all completed HARD COPIES / ORIGINALS (not copies) of their health forms BEFORE July 1, 2015.


Since our staff is required to review all paperwork and must process the information not only according to the State of Delaware rules and regulations, but also by SAS polices and procedures, please do NOT wait until arriving on campus to turn in your health forms.


Please contact the Health Center immediately, IF you cannot meet the deadline.


If there is any information that is incomplete/missing, the student will NOT be allowed to participate in sports camp until that information is received and may NOT be permitted to reside on campus.


On Opening Day, our health staff will be available in Founders Hall to meet and greet parents and students.


  • During the meet and greet, we require all students who are taking medications to see one of our nurses, along with their parent/guardian, to turn in (and discuss) their medications.

  • Any pending health forms, insurance cards or information that was not previously submitted to the Health Center MUST be handed in at that time.

Are you a RETURNING student?

All RETURNING students must submit all completed HARD COPIES / ORIGINALS (not copies) of their health forms BEFORE August 1, 2015.


Since our staff is required to review all paperwork and must process the information not only according to the State of Delaware rules and regulations, but also by SAS polices and procedures, please do NOT wait until arriving on campus to turn in your health forms.


Please contact the Health Center immediately, IF you cannot meet the deadline.


If there is any information that is incomplete/missing, the student will NOT be allowed to participate in sports camp until that information is received and may NOT be permitted to reside on campus.


On each of our Opening Days, our health staff will be available in Founders Hall to meet and greet parents and students.


  • During the meet and greets, we require all students who are taking medications to see one of our nurses, along with their parent/guardian, to turn in (and discuss) their medications.

  • Any pending health forms, insurance cards or information that was not previously submitted to the Health Center MUST be handed in at that time.

Are you a RESIDENTIAL LEADER?

All Residential Leaders must submit all completed HARD COPIES/ORIGINALS (not copies) of their health forms BEFORE August 1, 2015.


Since our staff is required to review all paperwork and must process the information not only according to the State of Delaware rules and regulations, but also by SAS polices and procedures, please do NOT wait until arriving on campus to turn in your health forms.


Please contact the Health Center immediately, IF you cannot meet the deadline. It is the students' responsibility to ensure that their health forms were received and "complete" according to the Health Center.


If the Residential Leader’s health forms have not been received or if there is any incomplete/missing information resulting in a “pending” status, the student may NOT be permitted to reside on campus.


On each of our Opening Days, our health staff will be available in Founders Hall to meet and greet parents and students.


  • During the meet and greets, we require all students who are taking medications to see one of our nurses, along with their parent/guardian, to turn in (and discuss) their medications.

  • Any pending health forms, insurance cards or information that was not previously submitted to the Health Center MUST be handed in at that time.

Were you invited to participate in SPORTS CAMP?

A nurse is on duty during sports camps. In order for students to participate in the sports camps, all completed HARD COPIES/ORIGINALS (not copies) of their health forms must be received BEFORE August 1, 2015.


Since our staff is required to review all paperwork and must process the information not only according to the State of Delaware rules and regulations, but also by SAS polices and procedures, please do NOT wait until arriving on campus to turn in your health forms.


Please contact the Health Center immediately, IF you cannot meet the deadline.


If there is any information that is incomplete/missing, the student will NOT be allowed to participate in sports camp until that information is received and may NOT be permitted to reside on campus.


On each of our Opening Days, our health staff will be available in Founders Hall to meet and greet parents and students.


  • During the meet and greets, we require all students who are taking medications to see one of our nurses, along with their parent/guardian, to turn in (and discuss) their medications.

  • Any pending health forms, insurance cards or information that was not previously submitted to the Health Center MUST be handed in at that time.


QUESTIONS?

During the summer, while our Health Center is closed, a member of our health services staff will be in the office at least once a week to check messages and emails.

If you have any questions about the health forms or physical examination requirements, please contact us by phone at 302-285-4240 or via email healthcenter@standrews-de.org.