• School Services

    Health Services

    If a student becomes ill in school, he/she should report to the nurse with a pass. Students must not leave the building because of illness without prior authorization by the school nurse (or designee). If the nurse is unavailable, students are to report to the main office. First aid care will be administered to sick and injured students. In cases of serious illness or accidents, parents will be notified immediately.

    Parents/guardians are encouraged to submit any relevant information regarding the medications their student needs, including a diabetes medical management plan or other information the district may use to develop an IEP, Section 504 Accommodation Plan or Individualized Health Plan (IHP). The district prohibits students from possessing or self-administering medications while on district grounds, on district transportation or during district activities unless explicitly authorized in accordance with administrative policy JHCF.

    The administration of medications is a nursing activity that must be performed by or under the supervision of a registered professional nurse or a licensed practical nurse. A school nurse may delegate the administration of medication to unlicensed personnel who are trained by the nurse to administer medications.

    The parent/guardian must provide the district with written permission to administer over-the-counter and/or prescription medication before the district will administer such medication. All students must have a current health history on file in order to receive any medications from the health office. Any medication not picked up by an authorized adult shall be discarded at the end of the school year.

    General Medical Conditions and Possible Exclusions for Students


    Any student with a temperature elevated above 100.10F should be excluded from school until symptoms have ceased for 24 hours without the aid of fever reducers. All elevated temperatures over 100.10F must be picked up from school.


    Any student vomiting 2 or more times within 2 hours shall be excluded from school for 24 hours unless proper written notice is received from a physician. Students should be picked up and kept at home for 24 hours.

    Conjunctivitis (Pink Eye)/Eye Drainage

    Conjunctivitis is redness and inflammation of the membrane that covers the eye and lines the inner surface of the eyelids. Any student with oozing eye drainage which may accompany fever, pain or redness of the eyes shall be excluded until proper treatment has begun. The student may return once symptoms have cleared.


    Ringworm is a fungal infection of the body, scalp or feet. If a student is diagnosed with ringworm, the student must be excluded from school until treatment has begun. However, the student may remain in school if the lesion can be covered. In order to prevent spreading, treatment must be started as soon as detected. Any child with ringworm should not participate in gym, swimming, and other close contact activities that are likely to expose others until treatment has begun or the lesions can be completely covered. If the lesion is on the scalp, the student should see a medical provider for proper treatment.

    Diarrhea (Infectious)

    Any student having an increased number of bowel movements (uncommon with the students’ normal bowel pattern) along with watery, bloody and/or mucus containing feces, shall be excluded until diarrhea free for 24 hours.

    Asthma/Difficulty Breathing

    Any student having an unusual breathing pattern with complaints of wheezing, chest tightness, consistent coughing or any other signs of discomfort for students are asked to visit their health provider to exclude any possible serious illnesses.

    ***The above criteria are common but not limited to all exclusionary rules from school***

    2017–2018 Missouri School Immunization Requirements

    • All students must present documentation of up-to-date immunization status, including month, day, and year of each immunization before attending school.
    • The Advisory Committee on Immunization Practices (ACIP) allows a 4-day grace period. Students in all grade levels may receive immunizations up to four days before the due date.
    • For children beginning kindergarten during or after the 2003-04 school year, required immunizations should be administered according to the current Advisory Committee on Immunization Practices Schedule, including all spacing. (Website)
    • To remain in school, students "in progress" must have an Immunization In Progress from (Imm.P.14), which includes the appointment date for needed immunizations, on file and must receive immunizations as soon as they become due. The student is in compliance as long as he/she continues to receive the appropriate immunization(s) at the correct intervals according to the ACIP recommendations.
      In progress means that a child has begun the vaccine series and has an appointment for the next dose. This appointment must be kept and an updated record provided to the school. If the appointment is not kept, the child is no longer in progress and is noncompliant (i.e., Hep B vaccine series was started but the child is not yet eligible to receive the next dose in the series).
    • Religious (Imm.P. 11A) and Medical (Imm.P.12) exceptions are allowed. The appropriate exemption card must be on file. Unimmunized children are subject to exclusion from school when outbreaks of vaccine-preventable diseases occur.
    Immunization Schedule
    1. Last dose on or after the fourth birthday and the last dose of pediatric pertussis before the seventh birthday. Maximum needed: six doses.
    2. 8–12 Grades: Tdap, which contains pertussis vaccine, is required. If a student received a Tdap, the student is up-to-date. Tdap is currently licensed for one does only; an additional dose is not needed.
    3. Grade 8–9 One dose of MCV is required. Dose must be given after 10 years of age.
      Grade 12: Two doses of MCV is required unless the first dose was administered to a student who was 16 years of age or older, in which case only one dose is required. At least one dose must be given after 16 years of age.
    4. Kindergarten–7 Grade: the last dose must be administered on or after the fourth birthday. The interval between the next-to-last and last dose should be at least 6 months.
      8–12 Grades: Last dose on or after the fourth birthday. If all four doses are administered appropriately and received prior to the fourth birthday, an additional dose is not needed. Any combination of four doses of IPV or OPV by four-six years of age constitutes a complete series. Maximum needed: four doses.
    5. The first dose must be given on or after twelve months of age.
    6. The first dose must be given on or after twelve months of age.
      Kindergarten–7 Grade: As satisfactory evidence of disease, a licensed health care provider may sign and place on file with the school a written statement documenting the month and year of previous varicella (chickenpox) disease.
      8–12 Grades: As satisfactory evidence of disease, a parent/guardian or MD or DO may sign and place on file with the school a written statement documenting the month and year of previous varicella (chickenpox) disease.

    *Note: Students in Transition (Homeless students) who cannot provide current proof of immunization status will be immediately enrolled and the Students in Transition Coordinator will work with the student to obtain necessary immunizations according to the McKinney-Vento Act.

    Human Sexuality Curriculum Notifications

    • Human sexuality curriculum may be delivered through various courses in high school.
    • When parents prefer that their child not receive instruction in human sexuality, a written notice must be provided to the classroom teacher and school administrator.