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Health Services

When to Keep Your Student Home from School Due to Illness

It is often hard to know when to keep a student home from school. The following guide will give you helpful hints to make a decision about sending your student to school.


A fever is a sign that your child may be sick and/or contagious.

  • If your child has a temperature of 100.4 degrees or more, they will be sent home.
  • Your child can return to school when he/she is fever free for 24 hours without the use of a fever reducing medication.
  • Call your doctor if the fever continues for more than a few days.


If your child vomits due to illness, and the vomiting is not due to a chronic health condition he/she will be sent home.

  • A child who is vomiting needs to stay home until he/she is symptom free for 24 hours.
  • Call your doctor if the vomiting continues more than 24 hours, and/or your child is not drinking fluids.
  • Your child should be able to eat and drink without vomiting before they return to school. 


If your child has diarrhea due to illness, and the diarrhea is not due to a chronic health condition, he/she will be sent home.

  • Notify your doctor if the diarrhea is frequent or accompanied by fever, rash, or general weakness lasting more than 24 hours.
  • A child with diarrhea needs to stay home until he/she is symptom free for 24 hours.
  • If the diarrhea is associated with illness, your child should not have diarrhea when they return to school.


A rash may be the first sign of an illness.

  • A doctor should evaluate the skin rash before you send your child to school.
  • Your child will be sent home if they have a rash that is spreading, open and cannot be covered.
  • Your child may return to school after seeing a doctor. Send a note from the doctor stating that the rash is not contagious and that your child may be at school.

Coughs and Colds

Infections are spread when children cough and sneeze, forgetting to cover their nose and mouth.

  • Your child will be sent home if they have continuous nasal drainage, coughing spells or if symptoms interfere with their ability to learn.
  • Children may stay at school and/or return to school providing they do not have a fever, nasal drainage is minimal and coughing is less frequent.

Pink Eye

Allergies, virus, and/or bacteria can cause pink eye. Pink eye can be highly contagious depending on the cause.

  • Symptoms are red watery eyes, swelling of the upper and/or lower eyelid, and/or yellow drainage.
  • Your child will be sent home if the pink eye is accompanied by fever, behavioral changes and/or inability to avoid touching the eye.
  • Treatment for eye infections vary. Call your doctor, optometrist, or ophthalmologist, to find out if any treatment is needed.
  • Antibiotics should be use for 24 hours before returning to school.

Strep Throat

If your child has been diagnosed with Strep Throat, he/she must remain home 24 hours after antibiotics have begun or return with written Dr. approval.


If designated staff discover head lice or untreated nits on a student at school, the school staff will notify the parent/guardian and recommend picking the student up and administer an FDA approved lice treatment (pediculicide/ovicide). If a student with live lice or untreated nits is not able to be picked-up they may remain in the classroom the remainder of the school day but must be treated with an FDA approved lice treatment prior to returning to school. Nits may persist, but successful treatment should kill live lice. If nits are found, after initial treatment with an FDA approved pediculicide/ovicide, child may stay in school. Nit removal should be done at home. Head lice can be found in every community at all times and are not an indicator of cleanliness or socioeconomic status. Lice are a nuisance but do not spread disease. Therefore, notification home and/or to the local health department is not necessary.

Medication at School

The purpose of the medication procedure is to keep your child safe and provide him/her with the medication ordered. District staff will not give any medication – prescription and/or OTC - to any student if the criteria below are not met.

Parent-Physician Consent Forms

No medication can be given to your child without the signed completed consent form.

  • Parent signature is required for over-the-counter medications (OTC).
  • A physician’s signature is required if the dose needed of the over-the-counter medication is more than the recommendations listed on the label.
  • A physician’s signature required if medication age appropriate.
  • Parent and physician signature are required for all prescription medication.
  • Complete a new consent form when the dose of the medication is changed and/or the medication is discontinued.

Special Note: Parent and physician signatures are required before staff is allowed to administer herbal, homeopathic or dietary supplements at school.

The Medication Consent Form be found on the Board Docs website Parent-Physician Medication Consent Form.

Narcotic medications cannot be given to your child at school.

Medication Bottles and Labeling

Prescription medication MUST be in the original labeled pharmacy bottle. The label must clearly state:

  • Student’s name.
    • Name of the medication.
    • Time to give medication and dose to give.
    • Physician’s name.
    • Date medication was dispensed by pharmacy.
    • OTC medication must be in the original container or single dose package.
  • Staff cannot give any medication sent in a plastic bag or an envelope.
  • Medication will not be given to your child if the bottle is incorrectly labeled.

Handling and Storage of Medication at School

  • Medications are stored in the original labeled pharmacy container and in a locked cabinet.
  • Parents and/or guardians must pick up all unused, discontinued, or outdated medications.
  • Parents and/or guardians must pick up all medication at the end of the school year.
  • Any unclaimed medication will be disposed of at the end of the school year.

Special Considerations – Inhalers and Epi-pens

  • Students can self- carry emergency medications - Epi-pens, inhalers and glucagon - to treat a life- threatening health condition with written permission from the parent and physician.

  • All students needing an emergency medication are taken by ambulance to the nearest emergency room. Parents will be notified.

General Safety Considerations

  • Bring your child’s medication to the health office.
  • Send only limited quantities of medication to school.
  • All medication is stored in the health room.

Contact the school health assistant with questions.

Hearing and Screening Programs

Marathon County Public Health Department staff will be at each elementary school this fall to conduct a vision and hearing-screening program. Screening dates will be listed in the school newsletters.

Students in grades 4K, K, 1, 3, and 5 are screened. This program is only a screening. Participation in the screening is optional. If you do not want your child to participate in the screening, send a written signed note to the health assistant at school telling us you do not want your child screened.

If your child wears glasses, please make sure the glasses are at school for the vision screening.

Any student who does not pass the initial screening will be re-screened by the health department staff in 4 weeks. If your child does not pass the re-screening, you will receive a letter and a phone call from the health department.

Highlights of the Health Services Section:

Three registered nurses employed by the D.C. Everest School District supervise the delivery of health services. There is not always a registered nurse on site.

  • Each D.C. Everest Elementary School has the services of a health associate during school hours.
  • If a child becomes ill or injured at school, parent/guardian will be notified. It is very important that parents /guardians provide school with the telephone number of family members or friends who can assist in an emergency if a parent/guardian is not available.
  • School staff may administer medication only to students who have the proper forms on file.
  • Parents/guardians are required to provide the school with an accurate immunization record with the dates of vaccinations. In addition, parents/guardians are required to provide updated vaccinated dates.