Skip To Main Content

Health Services

 

ALLERGY GUIDELINES

If a student has a SEVERE allergy or intolerance, the student is required to have a signed health care provider (MD, NP, PA, DO, RD) statement indicating their allergy or intolerance and the type of reaction. If a student has a food allergy which requires a modified diet, the student is required to have a signed health care provider Diet Prescription for Meals at School form.
 
The Alabama State Department of Education along with the USDA requires every school for lunch to offer milk with four other meal components to Pre-K through 12th grade. Each student (Pre-K through 12th grade) must take at least 3 meal components and one of those components must be a fruit and/or vegetable serving on their tray. For breakfast, each student (Pre-K through 12th grade) will be offered milk and must take at least 3 meal components with one of those components must be a fruit and/or vegetable on their tray.
 
Athens City Schools recognizes the potentially serious consequences of children with allergies. These allergies may include a condition known as anaphylaxis. Anaphylaxis is a severe, potentially life-threatening allergic reaction brought about by exposure to certain foods or other substances. To ensure proper safety for your children and our students, Athens City Schools requires a signed health care provider's letter/note for any student with an allergy to food, dairy or any allergen (grass, dust, pets, etc.) that could cause health problems during school hours. The signed health care provider's letter/note must be updated at the beginning of every school year.
 
NOTE: Once a health care provider writes a letter/note indicating a student's allergy, only a health care provider can change the status of the student's allergy. A parent cannot write a letter/note indicating the student may have food items that have previously been deemed as allergies by a healthcare provider.
 
Athens City Schools does not claim to be, nor can it be deemed to be free of food items and non-food items that may lead to a severe allergic or anaphylactic reaction. Our schools will make every reasonable effort to reduce the risk to children with severe allergies or anaphylaxis.
 
We live in a world that is contaminated with potential allergens. Children with allergies must learn to avoid specific triggers. While the key responsibility lies with the student and his or her family, in the case of a young allergic child, the childcare community must also be aware. Creating an environment that reduces the risk to severely allergic or anaphylactic children requires the cooperation and understanding of all members of Athens City Schools, including staff, students and parents.
 
Having a signed letter/note from your child’s health care provider, indicating their allergy(s), severity, and how they are treated, is one of the most important steps in creating a safe school environment for everyone. As stated previously, this letter must be updated at the beginning of each school year. If you have any questions, please call your child’s school.
 
Wellness Policy and School Parties
In an effort to decrease the rate of childhood obesity in the United States, the USDA made changes to the National School Lunch Program, National School Breakfast Program and to the amount and types of foods and drinks allowed to be served during the school day. These foods will be replaced with more fruits and vegetables. A lunch must include a fruit and/or vegetable along with at least two to three other items with a total of at least three food components to count as a meal. Breakfast must include a fruit or juice and two other meal components to count as a meal.
Parents are not allowed to bring fast food into the school in advertised bags.  (Please put all fast food in an unmarked bag.)
 
Parties are not permitted during meal times. Contact your child’s teacher and/or principal if you would like to bring a treat for a special occasion. We are requesting parties to include some healthy alternatives along with the usual cookies, cupcakes, etc. We ask for your support as we try to develop a healthy school environment for our children. If you would like a detailed explanation of the changes mandated from the USDA, please see our web site at www.acs-k12.org.
 

ILLNESS GUIDELINES

HEAD LICE Pediculosis, more commonly known as head lice, is routinely found in elementary and middle school aged children. Head lice can affect children across all races and socioeconomic backgrounds. Based upon the recommendations from the Centers for Disease Control (CDC), The American Academy of Pediatrics (AAP) and the National Association of School Nurses (NASN), the following interventions are important to help control the spread of head lice in our school community:
Please examine your child’s head regularly, especially behind his/her ears and at the nape of his/her neck for crawling lice and/or nits (eggs). An adult louse is about the size of a sesame seed, and can be the same color as your child’s hair. Nits are small, often silver or dark in color and are adhered to individual pieces of hair.
  • Students who are identified as having live lice: The school nurse will make all attempts to notify parents to pick their child up from school to treat and return to school following treatment, with either an over the counter or prescription lice killing product. The school nurse will recheck the student before being allowed to return to the classroom. They will not be permitted to re-enter the classroom until lice free. 
  • Students that have been cleared of lice will be re-examined in 14 calendar days by the school nurse. Students found to have head lice will once again be excluded from the classroom until lice free. 
  • All infested family members must be treated, being careful to follow the product’s direction carefully and completely.
  • Please contact your child’s school nurse if you have had to treat your child for head lice. She is available to serve as a resource to you for any questions you may have regarding treatment, and will need to check your child’s head to ensure there are no remaining live lice prior to your child returning to his/her classroom.
  • Head lice are a nuisance, but do NOT carry or transmit disease or infection. Mass screenings of school populations is no longer recommended and was not found to be effective in the control of head lice. Misdiagnosis often resulted from such screenings, leading to unnecessary treatment and related absence from school.
  • Likewise, “no-nit” policies are no longer recommended, due to evidence that nits found greater than ¼ inch from the scalp are not viable and very unlikely to hatch. Because nits are cemented to individual hair shafts, they are most unlikely to be transferred to another individual. Therefore, students who have been treated and have no evidence of live lice when checked by the School Nurse are able to return to their classroom. Students with nits and no evidence of live head lice will not be excluded from school. 
HEALTH SCREENING Students in grades K-12 are screened for vision and hearing as needs arise.
 
FEVER A student with a fever of 100.0 or greater should not come to school. A student at school with a fever of 100.0 or greater will isolated from the classroom. If no one can be reached to pick up the student, 911 may be called to transport the student for medical treatment. This will depend on the assessment by the school nurse based on the clinical symptoms of the student. A student MUST be fever free for at least 24 hours WITHOUT the use of fever reducing medications (Tylenol, Motrin, etc.) before returning to school. 

HEADACHE Many things such as fever, stress, sinuses, viral illnesses, and dehydration can cause headaches. Some headaches can be serious while others are minor. When a student has a headache that is associated with a fever and/or neck pain/stiffness or a headache that lasts for more than a couple of hours, the student should be seen by a health care provider. A mild headache can interfere with a student's learning ability. When a student has a headache during school hours and the headache does not go away after 20-30 minutes, the student may be sent home.
 

STREP THROAT A student may return to school with evidence of physician diagnosis and a minimum of 24 hours of antibiotic treatment.

VOMITING When a student has been vomiting, the student should not return to school until they have NOT been vomiting for 24 hours. Note: Nurses will use their judgment when requesting students to be sent home from school for vomiting. Example: If a student gets too hot in P.E., they probably do not need to be sent home and do not need to stay out of school the next day. 

DIARRHEA Certain forms of diarrhea can be contagious. Your child should stay home if he/she has had diarrhea (two times or more) prior to the start of the school day. Children with diarrhea at school will be sent home and should not return to school until no diarrhea for 24 hours.

ABDOMINAL PAIN Any form of abdominal pain in a child should be taken seriously. Many things cause abdominal pain. A student who complains of abdominal pain should not come to school until the problem has been identified. Any student with abdominal pain that lasts longer than 15-30 minutes may be sent home and should be seen by a health care provider.

COUGH A cough that is chronic can spread germs and be disruptive in a classroom. Please take this into consideration when deciding to send a student to school. The school nurse may evaluate a student with a cough and if determined to be excessive may be sent home. If a student brings cough drops or cough medicine to school, the student must have a Prescriber/Parent Authorization Form (PPA) completed and signed by a parent or guardian. If this medicine is required longer than 2 weeks, a PPA must be signed by a physician or practitioner for the medicine to remain on campus.

PINK EYE (CONJUNCTIVITIS) Pink eye can be very contagious. If the white of your child’s eye is red and has a thick yellow or greenish colored drainage, you should keep your child at home until treated. A student may return to school after a minimum of 24 hours of treatment.

IMPETIGO A student may return to school with evidence of physician diagnosis and a minimum of 24 hours of antibiotic treatment. Lesions must be covered when the student returns to school.

RINGWORM Students must be treated with proper medication for a minimum of 24 hours before returning to school and lesions must be covered when the student returns to school.

HAND, FOOT AND MOUTH DISEASE Students may return to school with a physician's diagnosis and excuse and must be fever free for 24 hours before returning.

RASH There are all types of rashes. Some are nothing more than irritated skin, while others are very contagious. The guidelines include:

  • Either clothing or a bandage MUST cover all rashes.
  • A student with an undiagnosed rash lasting more than 2 days may be required to have a medical doctor's note in order to return to school.
  • A student with a scalp rash may be required to have a medical doctor's note in order to return to school.
  • A medical doctor should evaluate a student with a rash that is associated with a fever and/or cough.
  • A medical doctor should evaluate a student with spotted rashes on the stomach, back, arms or legs.

IMMUNIZATIONS

Alabama law requires all students to have a current Immunization Card (Blue Card). The original Blue Card is kept on file by the student's school and must be updated per state guidelines.  
Each child enrolled in daycare, Head Start, and public or private school in Alabama must have a valid Alabama Certificate of Immunization on file at the facility that they attend. The certificate may be obtained from the physician or clinic that administers the vaccine or may be completed by any county health department in the state if the parent presents a vaccine record from the provider. For students who are moving to Alabama, out-of-state vaccine records must be transferred to the Alabama Certificate of Immunization prior to day care, Head Start, or school entry. This may be accomplished by taking a vaccine record from the provider to the local county health department, or, if the family has chosen a physician in Alabama, the physician may transpose the record. No handwritten immunization cards will be accepted. There can be no handwriting on an immunization card for any reason. These will not be accepted. 
 
The state of Alabama does not recognize philosophical, moral, or ethical exemption from vaccination. A physician may issue a medical exemption or an Alabama Certificate of Religious Exemption may be obtained from the local county health department.
 
Children attending 5 year-old-kindergarten through 12th grade must have had 5 doses of diphtheria/tetanus/pertussis vaccine (4 if the 4th dose was received after the 4th birthday) and 4 doses of polio vaccine (3 if the 3rd dose was received after the 4th birthday). Booster doses of tetanus-diphtheria toxoid vaccine must be given every 5-10 years after the preschool booster. Children in these grades should also have received 2 doses of measles- containing vaccine and 1 dose each of mumps and rubella vaccine, usually administered as 2 doses of MMR vaccine. Varicella (chickenpox) vaccine for kindergarten entry became a requirement in 2001.  This requirement will increase by one grade cohort until Fall 2013, when varicella documentation will be required for all children, kindergarten through 12th grade. A positive test for varicella immunity or documentation of chickenpox disease is acceptable in lieu of the varicella vaccine. Please contact your health care provider if you have any questions.
 

MEDICATION PROTOCOL

All Prescriber/Parent Authorization (PPA) forms must be renewed at the beginning of every school year and anytime the doctor makes a change to the prescription. Only the prescriber (MD, NP, PA) can change a medication order (dose, frequency, specific time, etc.). Cutting, crushing, or sprinkling a pill/tablet/capsule can be done only with a written prescriber order. Changes to the medication orders by a parent/guardian will not be accepted. The school nurse will verify all questionable changes with the prescriber.
Note: Only one medication per Prescriber/Parent Authorization (PPA) form is acceptable. If a student has multiple medications, a separate PPA must be completed and signed for each medication.
 

PRESCRIPTION MEDICATION

  • All medications must be hand delivered by the parent or guardian to the nurse. This includes all students who "Self-Administer" and/or "Self Carry" medications. 
  • The nurse must verify all orders before students are allowed to carry and self-administer their medications.
  • The nurse or certified medication assistant will count all controlled substances in the presence of the parent or guardian. 
  • Students are not allowed to carry medication on them while at school without proper physician orders giving permission to carry medication. 
  • The student is not allowed to “self-carry” a controlled substance. This medication will be kept in the nurse's office. 
 
ALL prescription medications must:
  • Be brought in by a parent or guardian to the nurse and they must sign a proper medication form that indicates the medications were received, counted, and secured by the school.
  • Be in the original container with a current pharmacy prescription label attached. The prescription label must match the PPA form.
  • Have the correct student's name on the prescription label.
  • Have a valid date of expiration. Expired medications will not be accepted. Not be mixed with any other medications (unless indicated on the label).
  • Have a completed Prescriber/Parent Authorization Form (PPA) signed by a doctor and parent/guardian per prescription.
 

OVER-THE-COUNTER MEDICATIONS

Over-the-counter medications will be administered as follows:

  • Requires completion of the Prescriber/Parent authorization form signed by the prescriber (MD, NP, PA). All OTC meds staying longer than 2 weeks in the nurse's office require the signature of a prescriber (MD, NP, PA) per Alabama guidelines. 
  • Must be provided by the parent in the original sealed container identifying the medication name, dosage, and manufacturer’s labeling.
  • Distributed according to manufacturer’s recommendations only.
  • If prescribed in excess of the manufacturer’s recommended dosage, the parent/guardian will be required to complete a new Prescriber/Parent Authorization form and have it signed by the physician.
  • No aspirin or aspirin-containing medication (salicylate) will be given to children or teenagers under the age of 16 years of age, unless prescribed by a physician. 

Food supplements, natural substances and herbs are not without potential harm, including life-threatening conditions. Herbal products and dietary supplements have not been subject to the scrutiny of the Food and Drug administration (FDA) and in the United States, as in most countries, dosage and purity have not been regulated for these products. School personnel should not give any substance that could be construed as a drug or medication, including natural remedies, herbs, and nutritional supplements, without the explicit order of an authorized prescriber, and reasonable information regarding therapeutic and untoward effects.

Narcotics will not be allowed to be given at school. CBD oil will not be  allowed to be given at school.

ALL Non-Prescription medications must have:
  • A new container that is unopened and sealed.
  • No other medications mixed inside the container.
  • A valid date of expiration. Expired medications will not be accepted. 
  • The student’s name is clearly marked on the original container.
  • A completed Prescriber/Parent Authorization Form (PPA) on file.

The following are procedures for medications that students may need to possess on them for self–medication:

  • Cough drops are considered OTC medications and will require a PPA form.
  • Inhalers – The school nurse must have a copy of the prescription label and box in her office. If the box is unavailable, the pharmacy can provide the inhalers prescription label.
  • Epi-Pens (TwinJect, Epinephrine, Adrenalin) - All students with Epi-Pens, TwinJects, and other pre-filled single use epinephrine auto injectors must have a copy of the original pharmacy prescription label attached to the cartridge holder or the original box.
  • Students may only carry medications indicated for a "chronic" health condition (asthma, diabetes, seizures, etc.). The doctor must indicate the "chronic" condition on the PPA and check the "kept on person" and/or "self-medication" box on the PPA. 
  • The parent or guardian will be notified when their child's medication is completed or becomes out of date. Expired medications will not be given at school.
All student medications must be picked up by the last day of school, before summer break, or the medications will be destroyed per federal regulations (in the presence of a witness, as indicated). No medications will be kept at school over the summer.
 
Some medications are not meant to be given during school hours. The school nurse reserves the right to refuse to administer certain medications unless a doctor has specifically written that the medication be given during school hours. Note: Most medications will be given by the parent/guardian at home. Medications that are prescribed for three times per day should be given at home, just before leaving for school, upon returning home in the afternoon, and at bedtime. The only exception to this schedule is if the prescriber has ordered the medication to be given before or along with meals.
When a student will be attending an alternative school, it is the parent's responsibility to transport his or her child's medicine to and from the student's home school and to and from the alternative school.
 
The parent/guardian should provide the school nurse with a list of possible side effects for  medications taken over a 30-day period.
 
  • The first dose of any new medicine should not be given at school.
  • Athens City Schools follows the State of Alabama guidelines for the administration of medications to students.
  • Only school nurses and certified medication assistants are legally allowed to administer medications to students in the State of Alabama.
 

MENINGOCOCCAL DISEASE AND VACCINE

Meningococcal disease is a serious illness, caused by bacteria. It is the leading cause of bacterial meningitis in children 2-18 years old in the United States. The bacteria that cause meningococcal disease are very common.
 
Meningococcal vaccine: Who should get the vaccine and when?
MCV4, or the meningococcal vaccine, is recommended for all children 11-12 years of age and for unvaccinated adolescents at high school entry (15 years of age). High school seniors should also consider obtaining the vaccine prior to entering college, especially if they are planning on living in a dormitory. Please consult your physician or local health department for more information.
For more information concerning this or vaccine recommendations visit www.adph.org/immunizations.

 

 
 
 

 

2025-2026 Grades PreK-5 Student Parent Handbook Quick Links