School Nurse

Prepare for Your Student’s Health at School

Washington state law requires that school staff and parents/guardians plan together for the safe care of their child throughout the school day.

Health Issues

Please report any health issue your child has that could impact safety and learning at school to the school nurse.

To report an issue, you can contact the nurse directly by phone or email, fill out the online student verification form on The Source (September 1-30), or fill out the Annual Student Health Update paper form  (on the district Health Services Forms page).

Examples include: Seizures, diabetes, asthma, life-threatening allergic reaction, cancer treatment, and anemia.

Medication at School

If a student needs to take any type of medication during the school day, even if it is temporary, an Authorization for Medications Taken at School form (on the Health Services Forms page) must be completed by the student's health care provider and signed by the parent/guardian.

Medical Treatments at School

If a student needs a treatment at school, such as: G-tube feeding, insulin calculation, clean urinary catheterization, suctioning, nebulizer, dressing change, and others please have the student's health care provider complete the Authorization for Treatments and Procedures to be Performed at School form (on the Health Services Forms page).

Fall Flu Shots

Protect yourself and your community from the flu. Students (ages 4 and older), staff, and community members can get their annual flu shot at one of the flu shot clinics. Visit the SPS Flu Shot Clinics page for dates/times and to find a clinic near you.

Most forms of insurance (including Apple Health and Medicaid) and cash or check are accepted.

Students who are enrolled in their school-based health center can also get the flu shot. Visit the King County School Health website for a listing of locations.

Immunization Resources

Breakfast and lunch

All students need the option of a healthy breakfast and lunch to fuel their brains and be successful at school. If your student is eligible for free or reduced-price lunch, please complete the form you received in your first-day packet or ask for another. If your child has allergies or otherwise needs a special diet fill out diet prescription form (posted soon).

Medication at school and camp

An Authorization to Administer Medications at School form must be completed for each medication your student needs, including all prescription, nonprescription, or over-the-counter remedies. Please be sure the medication authorization form is complete with both your signature and the signature of a licensed healthcare provider. A medication authorization form is required for students to self-carry and self-administer any medications at school.


Vaccinations are important for keeping all our students safe and healthy. Moreover, they are required for continued attendance at school. If you are unsure about your student’s immunization status, you can check the Washington Immunization Information Service and/or view a schedule of required vaccines.

Vision and hearing screenings

Vision and hearing screenings are typically done in the fall. If your child does not pass their hearing or vision screening at school, the nurse will send a letter home, stating the need for further evaluation by their primary care provider.

Incoming kindergarten and 1st graders

The first time in a school setting can be extremely fun for a child! Many children do not take the time to use the restroom for fear that they may “miss out” on something fun and exciting. Just in case that happens, please provide and extra set of clothes to keep in your child’s locker or cubby in case of an accident.

When to keep your child at home

Please keep your child at home for…

Fever – Temperature of 100 degrees Fahrenheit or greater. Students need to stay home for 24 hours after their temperature has returned to normal without the help of fever-reducing medications such as ibuprofen or acetaminophen.

Diarrhea – Two or more loose or watery stools in a 24-hour period, especially if the student feels ill. Students should stay home for 24 hours after the last watery stool.

Vomiting – Two or more times during the last 24-hours, especially if the student feels ill. Students should stay home for 24 hours after the last time they vomited.

Rash – Rashes of unknown origin or those known to be contagious (impetigo, ringworm, or scabies). Students may return to school as soon as treatment has begun.

Eye problems – Eyes that are draining mucus or pus or are painful, not due to injury or allergy.

Live lice – Students may return to school once treatment has begun.

Persistent coughing or bad cold – Students need to be able to cover their cough to be at school. If a cough or cold persists for more than 2 weeks, the student may need to be seen by a health care provider.

Diagnosed strep throat or bacterial conjunctivitis (pink eye) – Good handwashing is key to prevention. Do not exclude students unless recommended by a health care provider.

Other indicators of illness – Students who are unusually tired, pale, have no appetite, are hard to wake, or are confused should stay home or see their health care provider.

If you’re unsure about whether your student should miss school due to their health condition, please consult the school nurse.

When your student is absent from school, please report the reason for the absence to the office staff.

Contact Information

Twinkle Ramos BSN RN

Phone:   206) 252-5307
Confidential Fax:   206) 743-3178

Hours:  TBA

Additional Resources

For information about head lice, how to know when your child is too sick for school, and more, please visit the SPS Health Services Additional Resources page.

School-Based Health Center (SBHC)

List of King County School-Based Health Centers

Students have access to additional health services through the school-based health center located at this or a nearby school.

Services are available to all students, regardless of their ability to pay. Your insurance may be billed.

Services include immunizations, sports physicals, prescriptions, reproductive healthcare, mental health counseling, lab tests, and nutrition counseling.

Families must enroll their student to receive most services. Students can enroll themselves for confidential health services.