School Health Requirements
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What health forms are required for school?
One of your first responsibilities as a school nurse will be collecting, reviewing, and tracking your students' required health forms. Depending on your state, these may include physical examinations, immunization records, vision and hearing screenings, dental examinations, sports physicals, and other required documentation.
At first, it can feel like a lot.
The good news? Every experienced school nurse has learned this process one step at a time—and you will too.
One of the first things I recommend is becoming familiar with your state's school health requirements. Every state has different laws, forms, deadlines, and exclusion requirements, so it's important to know what applies where you work.
A great place to begin is with your:
- State Department of Health
- State Department of Education
- State School Nurse Organization
- School district's health services handbook or procedures
Most of the required health forms are completed by a licensed healthcare provider before being submitted to the school. But why are these records so important?
History of School Health Forms
Since the early days of school nursing, one of our responsibilities has been helping ensure students are healthy, safe, and ready to learn. Collecting and reviewing required health forms may not be the most exciting part of the job, but it's one of the most important.
These records help identify students with chronic health conditions, verify required screenings and immunizations, and ensure students receive the care and accommodations they need throughout the school year.
Why are health forms required for school?
Parents and students often ask why these forms are necessary.
The short answer is simple: they help protect both individual students and the entire school community.
State laws and local school policies establish health requirements to help prevent the spread of communicable diseases, identify health concerns early, and ensure students are healthy enough to participate safely in school activities.
These requirements also provide school nurses with the information they need to plan care, coordinate services, and respond appropriately when health concerns arise.
Handling Non-Compliance
If families don't submit required forms, it's important to have a clear follow-up process. This might include reminder letters, phone calls, or working with school administrators to ensure compliance.
Always follow your district's procedures, as requirements and exclusion policies vary from state to state. Taking time to understand your school's expectations early in the year will help make the process much smoother.
Staying Organized with Required School Health Forms
Find out your state’s specific requirements and create a plan to track compliance. For me, that means using a Google Sheet alongside Skyward reports. I also keep non-compliant health charts in a labeled plastic banker’s box for quick access.
What works for one nurse might not work for another—try different systems until you find what fits your style and your school’s needs. Pre-COVID, I consistently reached 100% compliance; the pandemic has complicated things, but persistence is key.
Check out this DOASN blog post on organizing school health charts HERE.
Protecting Confidentiality
Remember to protect student health information by following HIPAA and FERPA guidelines. Keep records secure and only share health information with authorized staff or parents.
Tip for Efficiency
One of the biggest time-savers I've discovered is using Google Email Templates for routine communication with families. Instead of writing the same emails over and over again, I simply customize a saved template and send it.
Collaboration Is Key
You don't have to do it all yourself.
Building strong relationships with your office staff, administrators, attendance team, counselors, teachers, and families can make collecting health forms much easier. School nursing is truly a team effort, and working together often leads to better outcomes for everyone.
New to School Nursing?
If you're just getting started, this article is actually one chapter in a much bigger picture.
The Ten Hot Topics: New School Nurse Guide brings together ten of the most common topics new school nurses encounter during their first year, including:
✔ Student health requirements
✔ Office visits
✔ Medications
✔ Communication
✔ Health screenings
✔ Organization
✔ Emergencies
✔ Special services
…and more.
Instead of searching for answers one topic at a time, you'll have practical guidance and direct links to additional resources all in one place.
ILLINOIS REFERENCES:
Illinois General Assembly (Full Article)
https://ilga.gov/legislation/ilcs/fulltext.asp?DocName=010500050K27-8.1
Illinois General Assembly Codes (Child Health Examination Code, 77 Ill. Adm. Code 665) https://www.ilga.gov/commission/jcar/admincode/077/07700665sections.html
Illinois State Board of Education: Health Requirements
https://www.isbe.net/Pages/Health-Requirements-Student-Health-Data.aspx
Each state has rules listing the minimum health requirements students must meet in order to attend school. Try searching your state + school health requirements to locate your specific state school health requirements.
OTHER REFERENCES:
2015 DOASN Lillian Wald Blog Post: http://diaryofaschoolnurse.blogspot.com/search?q=lillian+wald
Complete List of Department of State Health Websites: https://www.cdc.gov/publichealthgateway/healthdirectories/healthdepartments.html
Lillian Wald - Henry Street Settlement https://www.henrystreet.org/about/our-history/lillian-wald/
NASN School Health Documentation https://www.nasn.org/nasn/nasn-resources/professional-topics/school-health-documentation
NCSL State Vaccination Policies: Requirements and Exemptions for Entering School https://www.ncsl.org/research/health/state-vaccination-policies-requirements-and-exemptions-for-entering-school.aspx
Schools & Health: Our Nation's Investment https://www.ncbi.nlm.nih.gov/books/NBK232693/
State School Nurse Associations
https://www.nasn.org/nasn/about-nasn/affiliates


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