Communicable Disease | Illness | Injury
COMMUNICABLE DISEASE - ILLNESS
Communicable disease prevention, surveillance, notification, and reporting are important roles provided by the school health team. In addition to documenting care of ill or injured students according to district procedures, it is important to share your observations and recommendations for follow up with the student's parent or guardian. Information may include:
- A description of the illness which includes date, time and details of the complaint.
- Recommendations for follow up.
- School health services contact information.
These "sample" forms on this page may be customized for use by districts consistent with NYSED, local district policy, and their Medical Director's policies and guidance, to inform parents and guardians of health issues noted.
Health Office Daily Visit
Sample Student Daily Visit Form- This sample form was created to aid in tracking the number of student visits to the health office. It is available in landscape and portrait and is customizable. (1/2018)
General Illness Notifications
Notification of Student Illness Form - Fillable form to communicate student's visit to the health office due to illness
Specific Illness Letters
- NYSDOH Fact Sheet on Hand Food Mouth Disease (Coxsackie Virus)
- NYSCSH Head Lice Alert Letter For Parents/Guardians Emphasizing Prevention (1/2018)
- NYSDOH Fact Sheet on Pediculosis (Lice)
- CDC Treatment Guidelines
The following forms are "sample" forms which may be customized and used by districts based on their Medical Director's Guidance and BOE policies
Notifications of Injury: Abrasions, Cuts or Puncture Wounds This form may be used to notify parent/guardian of injuries related to abrasions, cuts or puncture wounds which may require follow-up. Symptoms of potential infection and recommendations for follow-up are provided.
Notification to Parent/Guardian of Student Injury - Customizable MS Word Document. This form provides a checklist which may be used by the school nurse to indicate to the parent/guardian the reason for student visit, first aid provided, and method by which the parent/guardian was notified. This form should be approved by your school medical director.