Michelle Snyder, School Nurse

Health Information for APS

School Nurse: Michelle Snyder and Kendra Gottula (Call your student’s school building to talk to the nurse.)

Physical Health Examinations

The Nebraska State Department of Health requires all kindergarten, 7th grade students, and transfer students from out of state to have health examinations prior to the beginning of the school year unless there was an examination within the last 6 months, in which instance, there must be a copy of that examination on file at the school. Forms for these examinations are available in the office. Any student wishing to participate in athletics must have an “athletic” physical. Athletic physical forms can be picked up in the office.

Immunization Records

The State of Nebraska Department of Health requires students entering grades Kindergarten-12 to have:

1. Two (2) doses of varicella (chickenpox) vaccine.

Beginning with the 2011-2012 school year, Nebraska state law requires all K-12 school children who have never had the chickenpox disease to receive two doses of the Varicella vaccine.

If the student has received 1 dose of the varicella vaccine, a second vaccine and written documentation of the vaccination must be received by school officials before the child begins school in August 2011. If the child has had the chickenpox disease, students need NO varicella shots. A health form stating dates of the disease and signed by a parent/guardian must be returned to the student’s school office before the first day of school in August.

Students not complying with this requirement will be excluded from school until they comply.

2. Two (2) doses of the Measles, Mumps, and Rubella (MMR) vaccine,

3. Three (3) DTP, 3 polio, 3 doses of the Hepatitis B vaccine, and

Vision Examinations

Beginning with the 2006-2007 school year, students entering school for the first time, including Kindergarten students and transfer students from out- of-state, will be required to provide proof of a vision evaluation taken within six months prior to the student’s entrance to the school.

The visual examination will include a test for amblyopia (lazy eye), strabismus (misalignment of the eyes), and internal and external eye health, and visual acuity. Parents must submit a form to the school stating the results of the evaluation that must be signed by an optometrist, physician, and assistant or advanced practice registered nurse.

Birth Certificates

All students must have a certified copy of a birth certificate on file.

Leaving School

Students must leave school if they have a temperature of 100.4 degrees, diarrhea, communicable diseases (e.g. ringworm, pink eye, chickenpox, head lice), or are vomiting or at the discretion of the school nurse or other school personnel.

If a student becomes ill while at school, he/she will obtain a pass from a teacher to go to the Health Office. The nurse or office personnel will help however possible. Parents or doctors will be contacted if necessary. The nurse is forbidden by law to diagnose or to dispense medication unless the student is under the direct supervision of a medical doctor.

If any pupil develops symptoms of illness or is injured at school, the parent, guardian, or any person designated on the pupil’s enrollment card by the pupil, will be notified. If deemed necessary by school personnel, they will be requested to take the student home or make arrangements for the student to go home and/or get medical attention. Students may not check themselves out of school.


Prescription medications, which must be administered during school hours, may be administered when the following are on file at school:

1. A physician’s signed, dated authorization including the name of the medication, dosage, administration route, time to be given at school, and the reason child is receiving the medication.


A caretaker’s signed and dated authorization/Form (DM-1) to administer the medication during school. (Note: All references to “caretaker” in these rules shall also include a parent, foster parent, family member or legal guardian; it shall not include a friend or childcare provider.

2. The medication is in its original packaging and is labeled as dispensed by the prescriber or pharmacist. The label must name the child and identify the medication, strength, time internal, and route to be administered. Two labeled containers may be requested; one for home and one for school. If needed, the physician or pharmacist may be contacted for clarification on medication administration.