Health Services

The Health Services Department supports students with physical, social-emotional, and mental health resources. Each school site has a health office staffed with a full time School Nurse (RN), health technician and License Vocation Nurse.  The health office is open throughout the school day from 8:15 to 4:00pm 

Please pre-screen your child before sending them to school each day. 

Please do NOT send your child to school if she or he is experiencing any of these symptoms:

  • Fever of 99.5 or higher
  • Cough for any reason
  • Shortness of breath or difficulty breathing
  • Chills
  • Muscle aches or body aches
  • New loss of taste or smell
  • Sore throat
  • Nausea, vomiting, or diarrhea

Please visit the CDC website for more information on symptoms of COVID-19.

COVID-19 Protocols for TK-12 School Settings in Santa Barbara County: 

*updated 07/28/2022 in coordination with Santa Barbara County Public Health


If your child becomes ill during the school day:

  • Student should tell their teacher that they’re not feeling well and ask to go to the health office. Your child will be given a hall pass to be release to the health office and be directed to go to a separate area set up for ill students.  They will be instructed to continue wearing a mask and the nurse or the health clerk will take your child’s temperature.  You will be notified to pick up your child and they will wait in an isolation area until you can pick them up to transport home or to a healthcare facility.  

Picking up your child from the health office:  

  • When picking up your child from school, please wear a mask and be prepared to show ID.   When arriving at the school site, enter through the main office and alert receptionist that your child is in the health office to be picked up.  
  • If the parent or guardian cannot be reached, the health staff  may contact one of the emergency contacts listed on the emergency card.  The person will need to show their ID upon arrival at the school.
  • For severe emergencies, 911 will be called. 
  • Your child will not be penalized for missing class.


Handwashing is the one of the best protections against germs.  Please encourage your child to make frequent handwashing part of their daily routine.  This protects the health of your child and of others around them. It is highly recommended to wear a mask, covering both nose and mouth, when in public as it is an important step in preventing the spread of the coronavirus.  It is still a good practice to have your  child to wear a mask whenever in a public setting if other people are present.


  • Recent exposure to a family member or community member with COVID-19.  Your child’s attendance will not be penalized for missing school due to recent exposure. Please make sure to report reason for absence to the attendance office.
  • Fever of 99.5 or more. It is recommended that your student remains at home until they have been fever free for the past 24 hours without the help of a fever reducing medication.
  • Vomiting–keep home if your child has vomited in the last 24 hours.
  • Diarrhea–keep home until normal stools have resumed.
  • Cough and difficulty breathing–do not send your child to school if they have labored breathing, rapid breathing while at rest, wheezing, or a blue tinge to skin or nailbeds.  Take your child to an ER immediately with any of the above symptoms.
  • Antibiotics, first 24 hours–if your child has been prescribed antibiotics, they should take them for a full 24 hours before returning to school.  If your child requires antibiotics to be taken during school hours, the authorization medication form must be completed by the doctor and the medication must be delivered to the school health office in the original container.
  • Rash that is undiagnosed.  A physician’s note is required to verify that the child is not contagious and may return to school.
  • Chicken Pox–keep your child at home until blisters are scabbed over and there are no signs of illness.
  • Impetigo–keep your child home for 24 hours after starting antibiotic treatment.
  • Ringworm–keep home until prescribed treatment is started.  Upon return to school, cover affected areas with clothing or a bandage.
  • Scabies–until treatment prescribed by a medical doctor has been completed.
  • Lice policy–if your child has lice, please treat with an over-the-counter lice shampoo and comb out the nits using a lice comb or flea comb.  The school nurse will check your child’s head upon their return to school to confirm that no live lice remain.  Continue to comb out the nits daily for two weeks following the discovery of lice.  Vigilant combing out of nits is the best prevention of lice recurrence.   Please do not keep your child home multiple days for head lice.  They can be treated in the evening after school and return to school the next morning.


If at any time you are unsure if your child’s illness in contagious, please call your child’s primary physician.  If you have further questions, please contact the school nurse at the school site.



Visit for more information on immunization requirements.


No Shots? No Records? No School. 

Grade Number of Doses Required of Each Immunization 
K -12 Admission 4 Polio 5 DTaP 3 Hep B 2 MMR 2 Varicella 
(7th – 12th) 1 Tdap 
7th Grade Advancement 1 Tdap 

State law requires that all students under age 18 years, TK through grade 12, be immunized against certain diseases unless they are exempt for medical reasons. At the time of registration, the school is required to have proof that your child has received all currently due immunizations. Check with your pediatrician, family physician or medical clinic to make sure your child is fully immunized. Your child may be excluded from attending school if these requirements are not met. Click this link to see a table which explains what immunizations are due at what age.


For admissions on or after January 1, 2021, what is required for a medical exemption to a required immunization? 

Starting January 1, 2021: 

  • Medical exemptions can only be issued through the California Immunization Registry – Medical Exemption website (CAIR-ME) by physicians licensed in California.    
  • Schools and child care facilities may only accept from parents new medical exemptions that are issued using CAIR-ME. 

Are medical exemptions filed for children in attendance at a California childcare facility or school before 2021 valid in later years? 

A medical exemption filed at a pre-kindergarten facility or school remains valid until the earliest of: 

  • When the child enrolls in the next grade span (TK/K-6th grade, 7th-12th grade)
  • The expiration date specified in a temporary medical exemption 
  •  Revocation of the exemption because the issuing physician has been subject to disciplinary action from the physician’s licensing entity 

A doctor has told a child’s parents that their child needs a medical exemption from a required immunization. How do parents get a medical exemption for their child?

Starting January 1, 2021, all new medical exemptions for school and childcare entry must be issued throughCAIR-ME.  Parents can create an account and log in to CAIR-ME to submit a request for a medical exemption.  Next, the child’s doctor can complete the medical exemption in CAIR-ME and print a copy for the parents to give to the child’s school or childcare facility. 


California law (EC 49452, EC 49454, 17 CCR 2951) and district policy (BP 5141.3) require all students in 10th/11th grades (hearing only) as well as students upon first enrollment in a California public school shall receive vision and hearing screenings performed by the school Nurse or other authorized person during the school year. If there is an abnormal finding, parents will be notified by letter. Please contact the school Nurse if you have any concerns regarding your child and the screening process.  


Head lice is a nuisance. Prevention is key! Teach your student to avoid head-to-head contact, including not sharing combs, brushes, hats, scarves, head bands, helmets, and pillows. And as the saying goes, “Once a week, take a peek!” This simply means once a week, parents, look at your student’s scalp, especially behind the ears and at the nape of the neck, for evidence of lice or nits. 

2018 CDPH Guidance on Head Lice Prevention and Control for School Districts and Child Care Facilities –  Updated March 2018

Lice Lessons  National Association of School Nurses (Lice Lessons is an educational initiative focused on dispelling common head lice misperceptions, providing information about the value of engaging healthcare professionals and building awareness of new treatment options.) 


The California Education Code states that any student who is required to take medication prescribed by a physician during the regular school day, may be assisted by the school nurse or other designated school personnel if the district receives: (1.) a written statement from the physician detailing the method, amount and time schedules that the medication is to be taken and (2.) a written statement from the student’s parent/guardian authorizing the school district to administer the medication. (E.C. 49422, 49423) Please do not send your child to school with medication in their backpack to take on their own.   


If your child requires medication during school hours 

  • please take the authorization medication form to your child’s doctor for completion. The form must be completed by a California physician, surgeon, or physician’s assistant.  Orders from doctors practicing outside California will not be accepted.  Medication cannot be administered by the nurse or school staff until this form is completed and delivered to the school site.  

What to do if your child needs medication at school but you do not have the medication form completed?  

  • If the form has not been completed and the child must receive medication at school, the parent or designee may come onto campus to administer the medication directly to the child. 


  • Deliver medication to the health office in its original pharmacy container with the original pharmacy label adhered to the container.  Over the counter medications must be delivered in the original sealed bottle. The information on the pill bottle must match the orders written by the doctor on the medication form.  The strength of the medication delivered must match the strength of the medication prescribed by the doctor (mg, mcg, etc.) Prescribed medication must be in the student’s name. 


  • In the case of prescribed medications for asthma, anaphylactic shock, or diabetes, students may carry these medications on their person or in their backpacks if the doctor has completed the medication form and has designated “child trained to self-administer”.  This rule only applies to medications prescribed for asthma, anaphylactic shock, or diabetes as they are life threatening medical conditions.  If these medications are found on your student during a random sweep, records in the health office will be checked to make sure the medication is prescribed, and the medication form is current and up to date. 


  • Please inform the nurse at your child’s school of any prescribed medications your child is taking regularly at home, along with the current dosage, and the name of the supervising physician who prescribed the medication.  Update the school nurse if these medications are changed, discontinued, or if additional medications are prescribed during the school year. 


Please have your child’s doctor complete the readmission to school form and deliver it to the health office on your child’s first day back. 


Please be sure your child is ready to navigate the campus upon their return to school.  Discuss the timing of your child’s return with their doctor. Upon returning to school, your child may have access to accommodations, such as extra time to pass between classes, being dismissed from class a few minutes before the final bell to start walking to the next class, and/or an extra set of textbooks for the home as needed. 


Please ask your doctor to complete the return to school concussion protocol. Deliver it to the health office on your child’s first day back following the injury.  If classroom accommodations are ordered, the school nurse will communicate with your child’s teacher via email.  Please keep the school nurse updated as to the progress of your child’s healing from concussion and accommodations ordered.  




Many students have food allergies.  It is imperative that parents notify the school nurse and the child’s teacher of any food allergies as soon as possible.  In order to keep all students safe, we ask that parents DO NOT bring in outside food for classroom parties, unless you have checked with the teacher beforehand. A food allergy can turn into a potentially life-threatening situation. 

Department Contacts