The Boone Community School District Health Services Department developed a Nursing Plan of Services that leads to a positive climate and environment that is collaboratively and intentionally designed to support the health needs and learning needs of all students. This process was part of an effort to acknowledge and manage changes through continuous improvement in school health services.

• Health Services Plan

Services Provided

1. Promotion of healthy lifestyles

2. Health care guidance to students, family, and staff

3. Identify health concerns by observation and assessment of needs and provide appropriate care

4. Medication management

5. Immunization verification according to state requirements

6. Screenings

7. Help students develop strategies to manage health issues.

Required Forms

Health Record (REQUIRED YEARLY)

Each student will need to have a health record completed and on file at their respective school annually.

• Health Record (REQUIRED YEARLY FOR EVERY STUDENT)

Certificate of Immunization

An Iowa Department of Public Health Certificate of Immunization must be given to the licensed child care center or school the child will attend. To be valid, the Certificate of Immunization must include the name and birth date of the child, the dates required vaccines were received and must be signed by a physician (MD or DO), physician’s assistant, nurse, or certified medical assistant.

State law further requires that all students enrolling in Iowa schools furnish a certificate of immunization for diphtheria, tetanus, pertussis (whooping cough), polio, measles, rubella, varicella and hepatitis B. Haemophilus influenzae type b (Hib) vaccination and PCV is only required for children entering preschool. All seventh graders are required to have a booster of Tdap immunization. The immunization requirement may be waived for religious reasons.

More information about immunization requirements and exemptions can be found on the Iowa Department of Public Health brochure.

Medication Policy (Code No. 507.3)

Any medication taken at school (prescribed and/or over the counter medicines) must be in the original container and kept in the nurse’s office. Parental written consent is needed requesting and authorizing school personnel to administer the medicine at school.

Medication Administration Form

Prescription and non-prescription medications may be administered at school when medically necessary by completing the permission form and returning it along with appropriately packaged medication to your child’s school.

• Medication Administration Form

Self-Administration of Asthma and Airway Disease Medication

With the necessary authorizations, students may carry and self-administer asthma or other airway constricting disease medication.

• Self-Administration of Medication of Asthma and Airway Disease Medication Form

Iowa Dental Health Screening

The Iowa Department of Health requires a dental screening for all students no earlier than age 3 but prior to age 6 or enrollment in first grade and prior to enrollment in high school.

• Iowa Department of Health Certificate of Dental Screening

Kindergarten Vision Card

The vision card linked below is a required card to turn into the school. Please have your doctor fill out the vision card and submit it to the school nurse.

• Kindergarten Student Vision Card

Emergency Contact Information

Parents are required to provide emergency contact information. The names and phone numbers of three local adults who will assume responsibility for a student if the parent/guardian can not be reached. This information needs updated as changes occur and should be completed through Infinite Campus.

• Infinite Campus Update