Health Services

According to Missouri State Immunization Law, students must show proof of immunization or exemption status prior to attending school:

2025-26 Missouri School Immunization Requirements

2025-26 Child care/preschool requirements

The following attendance guidelines must be followed closely concerning children with communicable diseases:

● Chickenpox: Exclusion for 6 days after the appearance of the rash.

● Conjunctivitis (Pink Eye): Children should not attend during the acute stage (itching, burning, and matting of the eyes );or 24 hours after medication has begun.

● Tinea Corpus (Ringworm): Infected children under adequate and continuous medical supervision may attend school . If possible, clothing or bandages to cover lesions.

● Erythema Infectiosum (Fifth Disease): No exclusion necessary unless fever is present.

● Impetigo: Exclude until skin lesions are healed, or until 24 hours after medical treatment started.

● Influenza: Exclude for duration of fever and until child is able to resume routine daily activities.

● Head Lice: Exclusion until insecticiding of scalp, skin, and clothing. Children may return to school after being treated with pediculicide and after all nits have been removed from the hair (See District No -Nit Policy).

● Scabies: Exclusion until the day after adequate treatment completed.

● Streptococcal sore throat and Scarlet Fever: Exclusion until at least 24 hours after beginning antibiotic treatment and free of fever for 24 hours . Prescribed treatment should be completed. 

● MRSA: Unless directed by a physician, students with MRSA infections will not be excluded from attending school. Exclusion from school will be reserved for those with wound drainage (“pus”) that can’t be covered and contained with a clean dry bandage. Students with active infections will be excluded from activities where skin to skin contact is likely to occur (e.g., sports) until infections are healed .

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We ask that students and parents adhere to these guidelines. Students are not to attend school or any school sponsored activity (school musicals, presentations, field trips etc…) until the above criteria has been met.

Parents/guardians are encouraged to call the school nurse for questions regarding communicable diseases or to receive instructions regarding school exclusion for other communicable diseases .

NOTE: Criteria for exclusion from school are based on the recommendations from the DHSS.

In an effort to help ensure good health and safety for all students in our schools, we have established the following guidelines:

MEDICATION MAY NOT BE SENT WITH STUDENTS ON THE BUS FOR ANY REASON.

Medication should be given at home whenever possible. However, if the physician’s orders indicate it must be given during school hours , the medication may be administered at school by complying with the following instructions :

PRESCRIPTION MEDICATION:

1. When a student is to receive prescription medication during school hours, the parent or guardian must provide the medication inn the original prescription bottle, plainly marked with the following:

a. Student name

b. Physician’s name

c. Pharmacy

d. Prescription number

e. Date

f. Name of medication, dosage, and time medication is to be given

 

2. We must have a written request from the parent/guardian to give the medication. The request is that a parent signs a medication administration record that includes the following: 

a. Student’s name

b. Physician’s name

c. Date, name of medication, dosage, time medication is to be given

d. Parent/guardian

3. If there is a change in the type of medication dosage, or time medication is to be given, a physician’s order will be requested.

4. Please do not leave more than 5 tablets of prescription medication at the school unless it is an antibiotic or daily medication.

NON-PRESCRIPTION MEDICATIONS

1. Over-the-counter medications (for colds, cough, headache, etc.) will be given when accompanied by a medication administration record signed by parent/guardian.

All medication must be in the manufacturer’s original bottle or packaging. 

The request should include:

a. Student’s name, date

b. Dosage

c. Time the medication is to be given

d. Parent/guardian signature

2. If it is necessary for a student to take daily non-prescription medication, such as aspirin for rheumatoid arthritis a written request from a parent/guardian and a physician order must be provided. The parent/guardian request and physician order should include the following :

a. Student’s name

b. Physician’s name

c. Date

d. Name of medication, dosage, and time medication is to be given

e. Parent/guardian signature or physician signature

3. Do not leave more than 24 tablets with the school nurse.

4. If there is a change in the type of medication, dosage, or time medication is to be given, a physician order is required 

District Wellness Policy