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Welcome to Health Services
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At Cashmere School District we value the health and fitness of all our students and staff. Our school health program aims to assure students are healthy, safe and ready to learn, while connecting students and their families to health resources in the community.
Keep Your School Nurse Informed
Student health information forms are required to be completed by parents upon enrollment and at the start of each school year. In addition, keep your school nurse updated on your student’s health status, such as surgeries, medications, illnesses/diseases, new diagnoses or other conditions that may affect your student’s school performance.
School Health Policies
Student Immunizations and Life Threatening Conditions 3413
Anaphylaxis Prevention and Response 3420
Student Sports: Concussion, Head Injury & Cardiac Arrest 3422
Nutrition, Health & Physical Education 6700
For additional policies and procedures visit the school board page.
Student Health Conditions
Students with potentially life-threatening health conditions require an Emergency Care Plan (ECP) to be in place BEFORE they may attend school. If your student has any of the following conditions, please call the school office to arrange a time to speak to the school nurse. You may also print from the list below and bring a completed copy to the school office.
If your student is new to our district and has DIABETES, please contact the school nurse as soon as possible.
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Asthma History _English
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Asthma History _Spanish
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Food Allergy History _ English
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Food Allergy History _Spanish
Medications at School
According to state law, students may receive medications at school under very specific conditions. This policy includes over-the-counter medications like Tylenol or Ibuprofen.
1. A Medication Authorization form completed and signed by your health care provider and parent/guardian that tells us how the medication is to be given. Your doctor’s office may have the form or you can download one here:
2. The medication must be clearly marked:
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in its original container
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with the student’s name
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the dose
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the time the medication should be given
3. The medication must be brought to school by the parent or other responsible adult.
Immunizations
If you are unsure what immunizations are required for school attendance, visit the Department of Health’s website which is updated each school year.
Cashmere School District is using the "School Module", an online system provided by the Washington State Department of Health. When your student receives an immunization in your doctor's office, it is recorded in this system and we can access it to check if your student's immunizations are up to date. You can access your student’s record at any time by signing up for MyIR.
Parents are asked to fill out and sign a Certificate of Immunization Status when they register their child for school. School registration and attendance are contingent upon either adequate immunization or a signed Exemption. If you are choosing to exempt your student from the required immunization schedule, please complete, sign and return this form to school with your health care provider's signature (if indicated).
Certificate of Exemption (pdf)
Certificate of Exemption (pdf) - Spanish
Schools are required to present to parents information on the meningococcal and human papillomavirus (HPV) vaccine.
HPV & Meningococcal Vaccines [pdf]Communicable Diseases
When an outbreak of a communicable disease (such as chickenpox, measles, etc.) occurs among staff or students, the school nurse consults with Chelan-Douglas Health District, who will take the lead on containment and make the plan on how the school will manage the outbreak. If your student has not been fully immunized, they may be excluded from school for up to 21 days.
Some guidelines on when to keep your student home:
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Fever—a temperature at or above 100.4 degrees Fahrenheit.
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Vomiting
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Diarrhea—watery or loose stools.
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Coughing—or having any sort of breathing trouble. Coughing spreads infection.
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Rash—check with your doctor to determine whether the rash is contagious before sending your child to school.
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Lethargic—a child who is difficult to wake, needs to see a doctor.
24 Hour Rule
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Fever: Keep your child home until their FEVER has been gone WITHOUT medicine for 24 hours.
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Vomiting or Diarrhea: Keep your child home for 24 hours after the LAST time they have vomited or had diarrhea and are eating a normal diet.
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Antibiotics: Keep your child home at least 24 hours after the FIRST dose of antibiotic.
Keep me home if…_ English
Keep me home if… _ Spanish
COVID-19
Learn more about COVID-19 symptoms, treatments and more on the DOH website.
You can find the guidance as well as other resources for parents and schools under Schools and Child Care in the Resources and Recommendations section.
Vision and Hearing Screening
Students in grades K, 1, 2, 3, 5, and 7 are screened yearly per state mandate.
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A referral form is sent to parents for students who do not pass. The referral indicates the screen results with recommendations for follow up.
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Students may be referred to their school nurse for individual screening by a parent or teacher.
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The screening done at school is just that—screens—they are NOT exams. Students should be examined by an eye professional at least every two years during school age regardless of the school vision screen results.
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Parents needing assistance for professional eye examination may contact the school nurse.
Local Health Resources
Cashmere School District Resources for Parents
Chelan-Douglas Health District
Chelan-Douglas Emergency Operations
National Alliance on Mental Illness: Chelan-Douglas
Food Banks in Chelan-Douglas Counties
State Health Resources
Parent Help 123: Health Insurance Programs
(OSPI) Infectious Disease Control Guide for School Staff 2014 [pdf]
Washington 211 *One-stop connection to the local services
WA DCYF: Child Protective Services
National Health Resources
American Academy of Pediatrics: Healthy Children
Healthy Weight, Nutrition and Physical Activity
Children’s Mental Health—Is this just a stage?
Food Allergy Research & Education
IMMUNIZATION INFORMATION AND FORMS
- School and Childcare Immunization information
- Upcoming immunization rule changes for 2020
- MMR vaccine exemption law change - information
- Certificate of Exemption (COE) - English
- Certificate of Exemption (COE) - Spanish
- Frequently asked questions about CIS and COE
MEDICAL/HEALTH FORMS
- Face Mask Waiver Form
- Medication Administration Guidelines
- Medication Administration Authorization (English)
- Medication Administration Authorization (Spanish)
- Release of Information (English)
- Release of Information (Spanish)
- Dietary Restrictions form
- Severe Allergy plan/orders
- Asthma Medication plan/orders (English)
- Asthma Medication plan/orders (Spanish)
- Seizure Action Plan
Gráfica de Evaluación de COVID-19
**See Vale Elementary and Cashmere Middle School webpages for links to approved snack food lists**
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Contacts
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Amber Varrelman, RNSchool District NurseI have been the school nurse at Cashmere School District since 2010.
I am in the district: Monday - Friday | 7:30 - 3:00 PM509 782.2001 Ext 419 / 508Fax 509 782.2547Adriana Castro, NA-C Hablo EspañolHealth Room Assistant, I have been with the Cashmere School District since 2013. I am in the district Monday - Friday | 7:30 - 4:00 PM509 782.2211 Ext 361Fax 509 782.1214