Health Services

Health Services

Health Services Information

The mission of Health Services is to strengthen and facilitate the educational process by improving and protecting the health status of children and by identifying and assisting in the removal or modification of health-related barriers to learning. Health Services; therefore, contributes directly to PUSD’s overall mission of educating students to become well-informed, productive and socially responsible citizens.

Health Offices

A Health Clerk who has been trained in basic CPR and First Aid provides care to the students who visit the School Health Office. Some of the care provided by the Health Clerk, under the supervision of the District Nurses, include basic first aid, medication administration, immunization enforcement, and communicable disease control.
Parents are encouraged to communicate with the School Health Clerk and District Nurses on any health related issues so we can better meet your child’s health needs in school to promote the best learning environment for your student.

To contact your student’s health clerk, please go to each school’s website. To contact the District Nurses, please go to Student Services Contact Us page.

Health Screening

To identify potential health barriers in order to maximize the student’s ability to learn, the district conducts the following screenings mandated by state of California: (Ed Code 49455, 49456, 49452.5)

  • Hearing and Vision: Grades K or 1, 2, 5, and 8, and first year in the California public school system
  • Color Vision: Grades K or 1, boys only.
  • Scoliosis Screening:  Grade 7 girls and Grade 8 boys and girls who are newly enrolled in CA public schools.

In addition, students who are being assessed for initial and three year review for special education services, and students referred by a teacher or parent will also be tested for vision and hearing. Those who do not pass the initial hearing and scoliosis screening will be retested. Parents will be notified and referred for further follow-up only when a problem is identified. Parents may submit a written request for exemption from any of the above health screenings.

Athletic Clearances

The sport physical form has to be completed annually by a licensed health care provider. Click here to download Sports Physical Release Form

Confidential Medical Services

State law requires that parents be notified that pupils in grades 7 through 12 may be excused from school for the purpose of obtaining confidential medical services without the consent of the pupil’s parent or guardian. The District follows state law, Education Code, and District Regulation 5101 and “When excusing a pupil for confidential medical services or verifying such appointments, District staff shall not ask the purpose of such appointments but may contact a medical office to confirm the time of an appointment.”

Food Allergy

Education, cooperation, and awareness are keys to keeping children with food allergies safe. At PUSD, parents, health care providers, school administrators, teachers, district nurses, health clerks and food service staff work together continuously to determine appropriate precautions, procedures, and to develop an individualized plan of action for managing each student’s food allergy in school.

Guidelines for Food at School Parties


Click here to download district policy Management of Life-Threatening Allergies–District Regulation 5536

The Food Allergy & Anaphylaxis Emergency Care Plan form is available here; also available at all school sites and Student Services Department.

For additional information regarding food allergy please check The Food Allergy Research and Education (FARE) at

Health Check-Up

California law requires that all children have a physical examination within eighteen months before entering the first grade.  Call your school Health Office for information regarding possible free Child Health and Disability Prevention Program (CHDP) exam. Parental waivers are available under certain conditions. (Health and Safety Code 324.2, 325.5)

Report of Health Examination for School Entry form is available at all school sites, Student Services Department, or go to website to download form.

For your convenience, here is a list of Alameda County Clinics and Community Health Centers.

Oral Health Assessment

California law, Education Code 49452.8, requires that children have a dental check-up by May 31 of their first year in public school, at kindergarten or first grade. Dental evaluations that have happened within the 12 months prior to school entry also meet this requirement. The law specifies that the assessment must be done by a licensed dentist or other licensed or registered dental health professional. Please click here to download the required form:


It is important to protect the health of students from risk posed by infectious diseases that transmitted within the school setting. Your child may be excluded from school in accordance with California Education Code section 48210-48214 and section 49451. “Whenever there is a reason to believe that the child is suffering a recognized contagious or infectious disease, he/she shall be sent home and shall not be permitted to return until the school authorities are satisfied that any contagious disease does not exist.”

Please do not send your child to school if he/she has any of the following symptoms:

  1. Common cold: Keep home during period of productive cough and yellow or green nasal discharge
  2. Fever (over 100 degrees) – in some children, a lower temperature represents a fever. Please keep your child home for 24 hours after a fever without the aid of Tylenol or Advil)
  3. Eyes that are red, swollen, crusting or draining
  4. Untreated, draining ears or earache
  5. Diarrhea
  6. Nausea or vomiting (if the pupil has vomited the night before or in the morning, please DO NOT send pupil to school.)
  7. Severe sore throat
  8. Skin rashes of unknown origin or contagious rash requires a clearance from a health care provider that student may return to school.

If a pupil is at school with any of the above, the parent/guardian will be called to pick up the pupil. Under certain circumstances, the parent may be asked to consult a health care provider (HCP) and to provide a written note from a HCP indicating that the pupil may return to school.

Suggestions for staying healthy during flu season, can be found here.

Head lice

Head lice is an ongoing issue in school communities. For more information, please refer to the All About Head Lice information sheet and the Frequently Asked QuestionsMore information can be found in this presentation.


The California Health and Safety Code, division 105, part 2, chapter 1, sections 120325-120380, title 17, division 1, chapter 4, sections 6000-6075, requires that every child entering a California school be immunized against polio, diphtheria, tetanus, pertussis, measles, mumps, rubella, hepatitis B, and chickenpox/a health care provider-documented varicella disease or immunity.
I. Student’s immunization record must be presented to school staff by the parent or guardian and must include the month, date, and year each dose was received. It needs to be in the form of either the yellow immunization card or personal record signed or stamped by a health care provider or clinic.
II. If student is transferring from one public school within California to another public school in California, you have 30 days to provide the proof of immunization. After 30 days with no valid immunization, you will receive a “Notice of Exclusion from School Attendance.”

III. If student is entering Kindergarten, transferring from a private school, transferring from out-of-state or out-of-country, you must present the immunization record before entry into a California school. All immunization must be up to date before student can start school.

IV. Out of country immunization record not in English must be translated and transcribed by a CA licensed health care provider.

Entrance requirements flier.

Entrance requirements are:

Polio (OPV and/or IPV)
Any Age 4 doses
Age 4-6 3 doses At least one was given on/after the 4th birthday
Age 7-17 3 doses At least one was given on/after the 2nd birthday


DPT (Diphtheria, Pertussis, and Tetanus)
Any Age 5 doses
Age 4-6 4 doses If at least one was given on/after the 4th birthday
Age 7 and older 3 doses If at least one was given on/after the 2nd birthday. If last dose was given before the 2nd birthday, one more (Td) dose is required.
7th – 12th grades Tdap booster 1 dose Booster dose after age 7 meets the requirement.


MMR (Measles, Mumps, Rubella) – Two doses of measles-containing vaccine required. One dose of mumps and rubella-containing vaccine required; mumps vaccine is not required for children 7 years of age or older.
Kindergarten 2 doses Both on or after 1st birthday
7th grade 2 doses Both on or after 1st birthday
Grades 1-6 and 8-12 1 dose Must be on or after the 1st birthday


Hepatitis B
Kindergarten 3 doses


Varicella (Chicken Pox) or health care provider-documented varicella disease or immunity.
Kindergarten 1 dose On or after 1st birthday
Grades 8-12 (> 13 years) 2 doses For previously unimmunized persons thirteen years and older
Out of state or country entrants (all grades) 1 dose For children under 13 years
2 doses For children 13 years and older


EXEMPTIONS: The law allows (a)parents/guardians to elect exemptions to immunization requirements based on their personal beliefs or medical reasons. Exemptions should not be considered because of convenience. Unimmunized students are at greater risk of contracting diseases and spreading them to their families, schools and communities. Schools maintain an up-to-date list of pupils with exemptions, so they can be excluded quickly if an outbreak occurs.  If you have any further questions, please consult your child’s health care provider or California Department of Public Health Webiste:

Tuberculosis Screening:

TB(tuberculosis) skin test is not required for school entry. If you have any questions, please contact your child’s health care provider, or Alameda County TB Control Unit at 510-383-1731.


Medication Administration

Parents of students who require the administration of medication during the school day must have a PRESCRIPTION OR OVER THE COUNTER ADMINISTRATION CONSENT FORM on file in the school office. Students are only permitted to carry their medications that are for life threatening conditions, such as severe allergic reaction needing EpiPen, asthma inhalers, and insulin/glucagon for diabetes.

This form must be completely filled out annually and signed by the parent/guardian and the child’s health care provider before the child can be assisted with the administration of medication by the district personnel at the school site. The authorized health care provider must be licensed in California.

It is the parent/guardian’s responsibility to provide the school site with all necessary information and special instructions in writing related to the administration of medication to their child. The parent/guardian must immediately notify the school in writing of any changes in the child’s regimen by the health care provider. It is also the child’s responsibility to follow the health care provider’s recommendations and instructions related to taking the medication (i.e., the child is responsible for going to the office at the prescribed times). Medication must be in its original container and brought to school by the parent/guardian, or an adult designee. All controlled medication will be counted and recorded on a medication log when delivered to school.

All medication must be picked up by a parent/guardian or adult designee at the end of the school year. NO medication will be given to a student to take home. Medication left in the school office at the end of the school year will be discarded.

Please refer to district policy 5532 for further questions or Program Advisory On Medication Administration by California Department of Education at

Emergency Card

Your child’s school must have correct contact information on your child in an emergency. This includes any alternative emergency contact persons in case the school cannot reach the parents. Parents must fill out the cards completely, including all pertinent health information and HCP and dentist phone numbers to call in an emergency. If there is a change of address or phone number for any person listed on the card during school year, please notify the school immediately (Ed Code 49408)

Tobacco-Free District

Per Tobacco-Free District Policy–Policy 1510, effective July 1, 1994, smoking and the use of tobacco products by all persons shall be prohibited on school district property. This shall include school buildings, grounds, and school owned vehicles.

Print Friendly