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Health Services

Common Health Quick Links:

Vale Approved Snack List
CMS Approved Snack List

TOO SICK FOR SCHOOL (English)
TOO SICK FOR SCHOOL (Spanish)

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.

Click HERE for the most up-to-date State Immunization requirements

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

Infectious Diseases 3414

Medication at School 3416

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.

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:

  • in its original container 

  • with the student’s name 

  • the dose

  • 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:

  • Fever—a temperature at or above 100.4 degrees Fahrenheit.

  • Vomiting

  • Diarrhea—watery or loose stools.

  • Coughing—or having any sort of breathing trouble. Coughing spreads infection.

  • Rash—check with your doctor to determine whether the rash is contagious before sending your child to school.

  • Lethargic—a child who is difficult to wake, needs to see a doctor.

24 Hour Rule

  • Fever: Keep your child home until their FEVER has been gone WITHOUT medicine for 24 hours.

  • 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.

  • 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.

  • A referral form is sent to parents for students who do not pass. The referral indicates the screen results with recommendations for follow up.

  • Students may be referred to their school nurse for individual screening by a parent or teacher.

  • 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.

  • 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

Head Start Locator

State Health Resources 

Parent Help 123: Health Insurance Programs

(OSPI) Infectious Disease Control Guide for School Staff 2014 [pdf]

Washington Poison Center

Washington 211 *One-stop connection to the local services

Washington Connection

988 Suicide & Crisis Lifeline

WA DCYF: Child Protective Services

National Health Resources

American Diabetes Association

Allergy and Asthma Network

American Academy of Pediatrics: Healthy Children 

Center for Disease Control

Adverse Childhood Experiences

CDC: Seasonal Flu

Concussion—Heads Up

Children’s Mental Health 

Healthy Weight, Nutrition and Physical Activity

Children’s Mental Health—Is this just a stage?

Epilepsy and Seizure Support

Food Allergy Research & Education

IMMUNIZATION INFORMATION AND FORMS

MEDICAL/HEALTH FORMS

COVID-19 Screening Flow Chart          

Gráfica de Evaluación de COVID-19

TOO SICK FOR SCHOOL (English)
TOO SICK FOR SCHOOL (Spanish)

Approved Snack Food Lists:
Vale Elementary
Cashmere Middle School

Contacts

Amber Varrelman, RN
School District Nurse

I have been the school nurse at Cashmere School District since 2010. I am in the district: Monday - Friday | 7:30 - 3:00 PM
avarrelman@cashmere.wednet.edu
509 782.2001 Ext 419 / 508 
Fax 509 782.2547

 

Adriana Castro, NA-C  (Hablo Español)
Health Room Assistant 
I have been with the Cashmere School District since 2013. I am in the district: Monday - Friday | 7:30 - 4:00 PM
acastro@cashmere.wednet.edu
509 782.2211 Ext 361
Fax 509 782.1214