SCHOOL NURSE

Medication Permission Forms

Our goal is to keep your child safe and healthy. Healthy children are better learners.

This page is designed to provide school-related health information and forms for students and their families to include:

Medication Permission Forms
Immunization Requirements
Screenings
When to Stay Home from School

When to Stay Home from School

School Immunization Form

Hours

Amanda Carruth 10:30 am-3:00 pm Northside and HS

Julie Loen 8:00 am-12:30 pm Northside

Immunization Requirements

All school districts must comply with Minnesota State Immunization Law (M.S. 121A.15), which states that all students must be immunized or show proof of legal exemption to attend school. Failure to be immunized or show evidence of immunization or legal exemption will prohibit the student from attending school.

In order to enroll your child(ren), parents or guardians must provide a written immunization record for their child(ren).

Parents may file a medical exemption signed by a health care provider or a conscientious objection signed by the parent/guardian. These must be notarized and will be kept on file at the child's school.

Keeping Track of Immunizations

Your child's immunization records remain in the school system once enrolled. Be sure to update your child's health file by sending written verification each time he or she has received another immunization. Record your child's immunizations or exemptions on this form for your child's school.

Screenings

Vision and Hearing Screenings

Screenings will be given each year to students in grades Kindergarten - 11th grade. These screenings are typically conducted in September/October.

Parents/guardians will receive a referral letter advising them to consult a physician should a screening indicate a vision or hearing concern.

Vision Screening will be done for grades 1, 3, 5, 7, and 10.
Hearing Screening will be done for grades K, 1, 2, 3, 5, 8, and 11.