Student Health Information
Health Services
School Registered Nurse Consultants are responsible for and supervise all health-related activities occurring within district and charter schools. This position requires a Bachelor of Science in Nursing, a Colorado RN license and Colorado Department of Education certification as a Special Services Provider - School Nurse. School RN Consultants work with health clerks, school administration and staff to provide physical, mental and social support to help children learn. School RN Consultants are assigned to multiple buildings so are not in every school every day, however school staff are able to contact them at all times.Health Clerks are the main caregivers in health offices in all district and charter schools. They complete a health clerk training course, are certified in CPR and First Aid and complete additional training for specific student needs. They perform first aid and care for ill children, administer medications, perform vision and hearing screenings, manage immunizations and are responsible for maintaining student health records.
For Health Service Information and forms, please see the District 6 Health Services page on the District 6 website https://www.greeleyschools.org/
- Illness, injuries, and emergency information
- Medications at school
- Students with health concerns
- Immunizations
- Hearing and vision screenings
- When to keep your child home/Exclusion from school for health reasons
- Health and wellness
- Loaned clothing
- Students with allergies
- Administering medication to students
- Self-administration of medication for asthma or anaphylaxis
- K-12th Grade School-required Immunizations for the 2024-2025 School Year
- Health records
- Annual screening programs
- Communicable diseases
- Medically Necessary Treatment in School Setting
Illness, injuries, and emergency information
Medications at school
Medications brought to the school are kept in the Health Office for the safety of all students; at the middle and high school level, students may carry certain medications if a contract is completed with the school registered nurse consultant and parent/guardian.
Prescription medications
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A Medication Authorization form signed by both a parent/guardian AND a health care provider is required to be on file at the school
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Medication must be provided by the parent/guardian in an individual, pharmacy labeled container for the student who is to receive it.
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Medication will be given as directed by the pharmacy label and per the provider’s written order.
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Provider orders expire one year from the date of the prescription.
Non-Prescription/Over-the-counter-medication
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A Medication Authorization form signed by both a parent/guardian AND a health care provider is required to be on file at the school
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Non-prescription/over-the-counter medications must be in the original packaging and labeled with the student’s name.
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Some over-the-counter medications are available in the health office and are approved by the District 6 Medical Advisor. To review the list of these medications and approve their use for your student, please complete the health section of the Online Registration each school year.
Students with health concerns
Please complete the health section of the Online Registration every school year and notify the school of any changes in your student’s health concerns so that their health needs can be met.
Immunizations
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Fully Immunized: student has received all school-require vaccines and a completed Certificate of Immunization is included in the student’s electronic or hard copy file
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In-Process: student is in the process of getting up-to-date on required vaccines. Within 14 days of notification, the student must receive required vaccines and submit a signed written plan for obtaining the remaining vaccines following the ACIP schedule for minimum intervals and ages.
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Exempted: student has on file either a
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Certificate of Medical exemption form signed by a Doctor of Medicine (MD), Doctor of Osteopathic Medicine (DO), Advanced Practice Nurse (APN) or delegated Physician Assistant (PA) because of a medical contraindication to receiving a vaccine OR
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Certificate of Non-medical exemption signed by a healthcare provider and the parent/legal guardian OR submit the exemption received upon completion of the CDPHE’s Online Immunization Education module signed by the parent or legal guardian. Please see CDPHE Vaccine Exemption site for further information on exemption requirements and forms
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Colorado school entry required vaccinations for child care/preschool and K-12 can be found on the CDPHE Immunization website. The most recent immunization rates for all district schools can be found on the District 6 website under Departments > Health Services > Immunization Information for 2024-2025 School Year > Immunization Rates by School.
Hearing and vision screenings
Annual hearing and vision screenings are conducted by Health Services staff including District 6 audiologists. Students in grades Pre-K, K, 1, 2, 3,5, 7 and 9, all new students and students with special education needs are screened every year per Colorado state guidelines. Parents who wish to opt out of screening should contact their school registered nurse consultant. Students who do not pass vision screening will receive a referral for follow-up care. Students who do not pass hearing screening will continue to be monitored by the district audiologist and will be referred for medical care when appropriate. If you need financial assistance for an eye exam and/or glasses, please contact the school nurse or health clerk for information on available programs.
When to keep your child home/Exclusion from school for health reasons
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Per current guidelines, students and staff with a fever of 100.4° or higher must not come to school and must be not be vomiting/throwing up for at least 24 hours
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Attendance and reasons for absence will be monitored to understand trends
Please see District 6 Exclusion Guidelines for more information
Health and wellness
Loaned clothing
Students with allergies
The Students with Food Allergies Policy provides guidelines for the development of a health care plan with the assistance of the licensed school nurse. Such plans typically address communication and emergency instructions between school officials and emergency responders, as well as reasonable accommodations to reduce the student’s exposure to agents that may cause allergic reactions. Plans may also include staff training provisions, access to emergency medications and reasonable accommodations under a “Section 504” or an Individual Education Plan when appropriate as determined by law.
Administering medication to students
Medication may be administered to students only by school personnel whom a registered nurse has trained and delegated the task of administering such medication. For purposes of this policy, the term “medication” includes both prescription medication and nonprescription medication, but does not include medical marijuana.
Student possession, use, distribution, sale or being under the influence of medication inconsistent with this policy shall be considered a violation of Board policy concerning drug and alcohol involvement by students and may subject the student to disciplinary consequences, including suspension and/or expulsion, in accordance with applicable Board policy.
The administration of medical marijuana shall be in accordance with the Board’s policy on administration of medical marijuana to qualified students.
The term “nonprescription medication” includes but is not limited to over-the-counter medications, homeopathic and herbal medications, vitamins and nutritional supplements.
Medication may be administered to students only when the following requirements are met:
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Medication shall be in the original properly labeled container. If it is a prescription medication, the student’s name, name of the medication, dosage, how often it is to be administered, and name of the prescribing health care practitioner shall be printed on the container.
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The school shall have received written permission from the student’s parent/guardian to administer the medication to the student and either:
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Written permission to administer the medication from the student’s health care practitioner with prescriptive authority under Colorado law; or
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a standing medical order, if the medication is an over-the-counter medication such as Advil or Tylenol.
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The parent/guardian shall be responsible for providing all medication to be administered to the student, unless it is an over-the-counter medication such as Advil or Tylenol.
Self-administration of medication for asthma or anaphylaxis
Authorization for a student to possess and self-administer medication to treat the student’s asthma, food or other allergy, anaphylaxis or other related, life-threatening condition may be limited or revoked by the school principal after consultation with the school nurse and the student’s parents/guardian if the student demonstrates an inability to responsibly possess and self-administer such medication.
Use of stock epinephrine auto-injectors in emergency situations
The district will have a stock supply of epinephrine auto-injectors for use in emergency anaphylaxis events that occur on school grounds. Any administration of a stock epinephrine auto-injector to a student by a district employee must be in accordance with applicable state law, including applicable State Board of Education rules.
The district's stock supply of epinephrine auto-injectors is not intended to replace student-specific orders or medication provided by the student's parent/guardian to treat the student's asthma, food or other allergy, anaphylaxis or related, life-threatening condition.
Use of stock supply of opiate antagonists in emergency situations
The district will have a stock supply of opiate antagonists to assist a student who is at risk of experiencing an opiate-related drug overdose event. For purposes of this policy, an opiate antagonist means naloxone hydrochloride or any similarly acting drug that is not a controlled substance and that is approved by the federal Food and Drug Administration (FDA) for the treatment of a drug overdose.
The stock supply of opiate antagonists may also be used to assist a district employee or any other person who is at risk of experiencing an opiate-related drug overdose event.
Administration of an opiate antagonist by a district employee to a student or any other person must be in accordance with applicable state law.
Please refer to Board policy JLCD (Administering Medication to Students) regarding administering medications to students.
K-12th Grade School-required Immunizations for the 2024-2025 School Year
Students who do not submit an up to date certificate of immunization or a written authorization signed by one parent/guardian requesting local health officials to administer the immunizations or a valid exemption will be suspended and/or expelled from school according to this policy's accompanying regulation.
For information related to District 6 Immunization requirements and resources, please refer to Board policy JLCB (Immunization of Students) and JLCB-R (Immunization of Students) or visit the Health Services Immunization webpage.
The Parent Letter for incoming Kindergarten students can be found by clicking on this Parent Letter Link (Spanish version).
The Parent Letter for K-12 students can be found by clicking on this Parent Letter link (Spanish version).
Health records
Access to the health files shall be limited to only those school personnel who have a specific and legitimate educational interest in the information for use in furthering a student's academic achievement or maintaining a safe and orderly teaching environment.
The nursing staff shall maintain a log showing who has been given access, when access occurred and to which specific records.
Annual screening programs
Communicable diseases
Please refer to Board policy JLC (Student Health Services and Records) for more information regarding health services and records.
Medically Necessary Treatment in School Setting
The provision of medically necessary treatment to students by private health-care specialists must be done in accordance with district policy. If medically necessary treatment requires administration of prescription and/or nonprescription medication to students, such administration must be in accordance with applicable federal and state law and the District’s policy and accompanying regulations concerning the administration of medications to students, JLCD (Administering Medication to Students).
“Medically necessary treatment” means treatment recommended or ordered by a Colorado licensed health-care provider acting within the scope of the heath-care provider’s license.
“Private health-care specialist” means a health-care provider who is licensed, certified, or otherwise authorized to provide health-care services in Colorado, including pediatric behavioral health treatment providers pursuant to the state medical assistance program, as defined in C.R.S. § 22-20-121(b), and autism services providers who provide treatment pursuant to C.R.S. § 10-16-104(1.4). In no event may a school district or administrative unit staff member be recognized as a private health-care specialist for the purposes of district policy.
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It is the responsibility of a student’s IEP team or Section 504 team to determine whether any medically necessary treatment is required during the school day and within the school building to ensure the student can access their education, in accordance with Section 504 and Title II.
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When determining whether medically necessary treatment is required within the school setting, the student’s IEP team or Section 504 team will invite the private health-care specialist who ordered or recommended the medically necessary treatment to attend the meeting at which the issue will be discussed. Private health-care specialists are encouraged to submit information in writing that can be reviewed at the meeting by the student’s IEP or Section 504 team. The invitation will issue to the private health-care specialist at least ten (10) calendar days in advance of the IEP or section 504 meeting.
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Nothing in district policy will be construed to prevent the District from using its own staff, if qualified, or contracting with a qualified provider of its choice to provide medically necessary treatment to a student within the school setting when determined appropriate by a student’s IEP or Section 504 team.
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Nothing in district policy will be construed to require the District to permit a third-party to determine or provide special education or related services in the school setting in a way that interferes with the District’s obligations and authority under federal and state law.
A private health-care specialist may be granted access to school or district property to provide medically necessary treatment in accordance with the determination of the student’s IEP team or Section 504 team, subject to the District's policy and/or procedures concerning visitors to schools and all other applicable policies.
A private health-care specialist may be granted access to school or district property to observe the student in the school setting, in accordance with the determination of the student’s IEP team or Section 504 team, and with express consent from the parent/legal guardian. During the observation, the health-care specialist is prohibited from providing medical treatment, disrupting the student’s instructional program, or interfering with the provision of special education and related services. The health-care specialist’s observation is subject to the District’s policies and procedures regarding visitors to schools and District property.
Permission to provide medically necessary treatment on school premises may be limited or revoked if the private health-care specialist violates any board policy, or demonstrates an inability to responsibly follow the requirements of the school district.
If the IEP team or the Section 504 team determines that any medically necessary treatment is not required to be provided in the school setting pursuant to this policy, the IEP team or Section 504 team will provide notice to the student’s parents or legal guardian that the student has a right to appeal such determination. Such appeals must meet, at a minimum, the requirements as set forth in Board policy JLCDC (Medically Necessary Treatment in School Settings). Additional information regarding medically necessary treatment in school settings, as well as the process for authorizing private health-care specialists to provide medically necessary treatment in school settings, can be found in JLCDC (Medically Necessary Treatment in School Settings) and its accompanying regulation, JLCDC-R (Authorizing Private Health-Care Specialists to Provide Medically Necessary Treatment in School Settings).