(based on the following symptoms only):
Asthma
Allergic reaction (hives, etc.)
Concussion
Ear and eye issues
Musculoskeletal Injuries
Bloody nose
Urinary issues
Rash
Sports Physicals (Please fill out and bring the NCHSAA form with you)
(based on the following symptoms only):
Cold/flu symptoms - Sore throat, runny nose/congestion, fever, cough, chills, etc.
Allergy symptoms - Itchy eyes, runny nose, congestion, etc.
Headache/Migraine
Menstrual Cramps
Nausea/vomiting/diarrhea
Other (please specify)
**Pick-up/drop off is between
11am-4pm**
Please remember it is a violation of school policy to have more than one week's worth of medication with you.
The Durham NCSSM clinic partners with Gurley's Pharmacy to fill and deliver 4 weekly blister packs to the clinic for distribution.
All families and students at NCSSM, not just the Residential program needs to upload the Junior Medical Packet, Senior Medical Packet and any Individualized Health Plans to "Blackbaud". The medical tab is only available to the parent profiles in Blackbaud, so parent profiles will need to be the ones that submit medical packets and allergies to the clinic.
Blank versions of both the Junior Medical Packet and Senior Medical Packet are linked her.
The Junior Medical Packet should be uploaded by the due date (typically mid May) even if the last physical date is over a year. The forms include the NCSSM physical form and the NCHSAA Physical form (A and B) both signed by a Primary Care Provider, Immunization Records, TB form signed by PCP and all pertinent allergy action plans. If your student has a new physical or updated immunization record after the due date, please update/upload in Blackbaud when available. Students must have all required forms and immunizations in order to move into the residence halls.
For varsity athletics, a physical less than a year old for the entire sports season must be submitted to the NCSSM clinic before tryouts or participation can occur
Individualized Health Plans. Please upload all the forms to Blackbaud that apply. Below is a list of the individualized plans (linked).
Durham Clinic Amazon Wishlist – Please help us in supporting our students (If the address on this list does not automatically generate, please use the following delivery address:
Durham NCSSM Clinic
1219 Broad Street,
Durham, NC
27705