School Nurses

When to keep your child home

Required Health Forms

The following immunizations are required as a condition of attendance in all grades:

Diptheria  Four or more properly –spaced doses. The fourth dose must be after the 4th birthday.

Tetanus  Four or more properly –spaced doses. The fourth dose must be after the 4th birthday.

Poliomyelitis (Polio) – Three or more properly spaced doses.

Measles (Rubeola) Two properly spaced doses of vaccine, the first dose at 12 months or older, or immunity proven by laboratory testing.

Mumps  Two properly spaced doses of vaccine, the first dose at 12 months or physician diagnosis of mumps by physician signed record

German measles (Rubella) – One dose of vaccine administered at 12 months of age or older or history of immunity proven by lab testing.

Hepatitis B  Three properly spaced doses.

Chickenpox (varicella) Two properly spaced doses of vaccine, the first dose at 12 months or older, or immunity proven by laboratory testing or written history of disease from parent, guardian or physician.

In addition to the above, student entering 7th grade must also have the following immunizations:

Tetnus and diphtheria and acellular pertussis vaccine (Tdap) – One dose if at least 5 years have elapsed since the last dose of a vaccine containing tetnus and diphtheria.

Meningococcal Conjugate Vaccine (MCV) – One dose of Meningococcal Conjugate Vaccine (MCV)

Physical form: State law requires this for school students in Kindergarten, 6th and 11th grades

Dental Form: State law requires dental exams to be performed in Kindergarten, 3rd, and 7th grades; a dentist from the school district will provide a dental evaluation when needed.

Scoliosis Form: Scoliosis evaluations are required in 6th and 7th grade as this is the time of greatest growth. In 6th grade it can be included on the physical form.

Required in 7th grade with students well visit from his/her primary care provider. Nurse will perform evaluation in school with parental permission on predetermined dates when needed.

Medication Policy Rules

Medication Dispensing Form

If a student suffers any form of an accident (ie, concussion, cast, use of crutches, extremity in a boot), that results in being “excused from gym”, the nurse’s office needs a letter of documentation.  This letter must come from the doctor’s office stating the reason and for how long they will be restricted.  Also, we will need a letter when the student is able to return to gym class.

Food Allergy & Anaphylaxis Emergency Care Plan Form

To contact the school nurse, please click here.