School Nurse

Mrs. Cathy Hardekopf

Health Forms & REQUIREMENTS

Please see below for the respective grades and required medical forms that need to be on file prior to the school year starting.

Kindergarten/ New Students 1st - 8th grade

• Immunization Record or Exemption Record

• Student Physical form

• Vision Screen form or Green Vision Card

• Dental Screen form

3rd Grade

• Vision Screen form or Green Vision Card

4th Grade

• Current Physical

7th Grade

• Updated Immunization Record (with Tdap and menigococcal vaccines)

• Current Physical

Other Forms:

• Current Athletic Physical - For students grades 5-8 participating in school sponsored sports

• Immunization Exemption Form (religious)

• Immunization Exemption Form (medical)

Medication to be Given at School:

• Medication Release Form

  Please note -

• The form above is required for medication to be given at school.

• Over the counter medication must be in its original container and labeled with students name.

• Prescription medication must be in a prescription bottle with a pharmacy label.

If you have questions regarding these forms, here is a link regarding health requirements.
https://educate.iowa.gov/pk-12/student-services/specialized-support/health/requirements

Keeping Our School Healthy:

When to keep your child home:

• Fever of 100.0 F or higher

• Vomiting

• Diarrhea

• Your child must be free of fever, vomiting and diarrhea for 24 hours without the use of Tylenol or Motrin before returning to school.

When a doctor’s note is needed:

• If your child has been ill for 3 consecutive days.

• If your child needs to be excluded from PE or recess for more than one day.

Please refer to the School Handbook “Health Information” section  or contact me at cathy.hardekopf@slte-school.org if you have any questions or concerns.