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Health Services

A student's health status is directly related to his or her ability to learn. Children with unmet health needs have a difficult time engaging in the educational process. The school nurse supports student success by providing health care through assessment, intervention, and follow-up for all children within the school setting.

The school nurse addresses the physical, mental, emotional, and social health needs of students and supports their achievement in the learning process. The school nurse not only provides for the safety and care of students and staff but also addresses the need for integrating health solutions into the education setting.

Guidelines For Keeping Sick Children Home From School


The child should remain at home with a fever greater than 100 degrees. The child can return to school after he/she has been fever free for 24 hours (without fever-reducing medicine such as Tylenol or Motrin).


A child with diarrhea and/or vomiting should stay at home and return to school only after being symptom-free for 24 hours.


Following a diagnosis of conjunctivitis, the child may return to school 24 hours after the first dose of prescribed medication.


Common infectious diseases with rashes are most contagious in the early stages. A child with a suspicious rash should return to school only after a health care provider has made a diagnosis and authorized the child’s return to school.


Some of the symptoms of colds are nasal congestion and cough. A continuous green discharge from the nose may be a sign of infection. Consider having the child seen by your health care provider.

Head Lice

Before returning to school, parents must provide proof of treatment and see the nurse for a recheck before returning to class.

A sick child cannot learn effectively and is unable to participate in classes in a meaningful way. Keeping a sick child home prevents the spread of illness in the school community and allows the child opportunity to rest and recover. 

Reporting Your Child's Illness

Please call (602) 449-4701.

The State Department of Education tracks many health problems, so it is important to state specifically why your child is absent and please advise our school nurse. Illness reasons are listed below:

  • Head Lice
  • Pink Eye
  • Chicken Pox
  • Gastro-Intestinal (Stomach upset, flu, diarrhea)
  • Upper Respiratory (Cold, sore throat, bronchitis, congestion, strep throat, etc.)
  • Excused Absence (Symptoms that are not contagious: headache, vacation, personal)

*You will be notified if your child becomes ill enough to be removed from school, sustains more than a minor injury, or for any other emergency. It is the parent's responsibility to make arrangements to pick up the child as promptly as possible. In accordance with district procedures, elementary students are not permitted to walk home when ill or injured and must be signed out with proper identification at the office.

Medication Requirements

Here are just a few reminders about medication for your child at school.

The health office needs your permission to dispense medication to your child. Medication forms are available in the health office, front desk, or online and must be completed when dropping off any medication for your child. In accordance with district policy, hand-written notes are not acceptable. All over-the-counter medication must be dispensed through the health office (this does include cough drops). Cough drops are considered an over-the-counter medication,  they need to be stored in the health office.  We must have signed permission to give them out. To ensure that medication has not expired and the dosage is correct, all medication needs to be in the original container. Doctor Prescribed Medication must be in the original container with the prescription label that includes the patient's name intact.

If it is necessary for a child to take medication during school hours, the following requirements must be met:

  • Students may not keep medication with them. Diabetes with insulin pumps are an exception
  • Prescription medication must be in the original container with a current prescription label 
  • Over-the-counter medication must be in the original container. Appropriate dosage as stated on the label will be dispensed
  • There must be written permission from the parent/guardian to administer medication to the child. Dosage, time, dates to be given, and name of medication must be stated. A separate medication form needs to be completed for each medication
  • Medications are expected to be brought to school by the parent/guardian 
  • It is recommended that liquid medicines that require refrigeration be left in the Health Center during the dates to be dispensed. Ask your pharmacist for a second container to be kept at school
  • If medication needs to be given during a field trip, please provide the nurse with an extra labeled pharmacy bottle

Medications brought to school and not meeting necessary requirements will not be dispensed by the nurse and will be returned to the parent until proper paperwork is completed.


Arizona State Law ARS 15-872 states that children must have documentary proof of immunization on file at school. It is the responsibility of the parent/guardian to furnish the school with the month and year of each immunization for your child. If your child is missing or delinquent in receiving the required immunizations, your child May Be Excluded From School until the needed immunizations are received and documented proof is presented to the school nurse. View the Arizona immunization requirements (external website).

Health Screening

Age/grade-level appropriate and program-specific health screenings of students (height, weight, vision, hearing, scoliosis) are performed each year. You will be notified should the nurse detect a possible problem.

6th Grade and Parents of 11-Year-Old Students:

Please remember that the State of Arizona requires immunizations at age 11. These must be administered before the student enters 6th grade. Once these immunizations have been received, please bring proof of administration to the Nurse's Office. Thank you! 

Michelle Makofske
School Nurse
(602) 449-4703

Health Forms

Immunization Requirements

Nurse's Note

Students who are not feeling well must come to the Nurse's Office to be assessed by the Nurse. Do not have them text or call you first. By following this procedure, the Nurse can monitor any illnesses that are prevalent in the school community. There are many ways to help your child feel better without having them go home. If they need to go home the Nurse will call you. We appreciate your help with this matter.

Emergency Cards

Please ensure your child's Emergency Card is always up to date with your most current contact information. If you do have any updates/changes to the Emergency Card, please come into the school office to make the updates.

Water! Water!

Adequate hydration – aka "drinking plenty of water" – is critical to keeping headaches and tummy aches AWAY! Please make sure your student has a water bottle with them at school each day. Drinking water goes a long way toward helping students stay in class and continue LEARNING.

Clothing Donations Needed!

The Nurse's Office is always in need of usable underwear, shorts, pants, shirts, and shoes in ALL sizes. Your donation goes to help a Fireside student and is greatly appreciated!