McDougle Health Room

School Nurse - Valerie Minogue, RN, BSN

Phone  919-969-2435 ext. 62090

Fax 919-969-2454

Immunizations and Kindergarten Health Assessment

According to North Carolina state law, all students must show proof of state required immunizations.  Additionally, incoming Kindergarteners must provide a Kindergarten Health Assessment Report.  If these have not been submitted within the first 30 calendar days of school, your child risks exclusion from school.  

Kindergarten Health Assessment - English

Kindergarten Health Assessment - Spanish

Orange County Health Department

N.C. Immunization Laws

Immunization Requirements for Enrollment CHCCS

Notice for Religious Exemption

Garrett’s law was enacted by the North Carolina legislature in 2004.  It mandates that schools provide parents and guardians with information about meningococcal meningitis and influenza and the vaccines that protect against these diseases. The law was expanded in 2007 to mandate that information also be provided about human papillomavirus (HPV) and the vaccines available to protect against HPV.


District policy dictates that any student with vomiting, diarrhea and/or a fever of 100.0 degrees or greater is to be kept home from school.  If your child becomes ill at school and needs to be picked up, you will be notified.  Before returning to school, your child must be symptom free (without medication) for 24-hours.  Other conditions that might result in exclusion from school include, but are not limited to, ringworm, pink eye, and strep throat.  

Sick Day Guidelines

Strep Throat

Strep Throat - Spanish

Pink Eye

Pink Eye - Spanish

Head Lice - English

Head Lice - Spanish

Ringworm - English

Ringworm - Spanish

Communicable Disease Notices



Minor scrapes and bumps will be treated by staff in the classroom or on the playground.  Head injuries with significant impact will be sent to the School Nurse for evaluation.  You may be asked to pick your child up from school if he or she are showing any signs of a concussion.  If your child received a bump to the head, but does not have any signs or symptoms of a concussion, he or she may come home with a Notice of Head Injury letter.  You may also be asked to pick your child up from school for any injuries causing excessive bleeding, swelling, or ability to use the affected limb.

Notice of Head Injury

Head Injury - Spanish

Gfeller-Waller Concussion Awareness Act

It is important that all emergency contact information on file with the school is up to date.  Please notify the school if your contact information changes by calling 919-918-2220


Elementary students are NOT permitted to carry medicine to school with the exception of asthma inhalers and EpiPens for select students.  Acetaminophen (Tylenol) and ibuprofen (Advil) may be given at school for complaints of headache, throat pain without fever, or other discomforts that develop during the school day, but only by the School Nurse, and only after parental permission has been obtained with a phone call.  

Medication Options at School

The Administration of Medicines Form must be completed for any medication that needs to be given at school.   

All medications should be given to the School Nurse by an adult and should be in the original container.   

  • Parent signature only is required for administration of medication on a short-term basis of less than 10 days.  

  • Parent and Health Care Provider signature are required for medications  (both prescription and over the counter) that will be given longer than 10 days.  

    • Medications will be administered by the School Nurse or designated, trained staff members.

    • It is the parent’s responsibility to obtain the required signatures.  


Health Care Plans for Common Health Conditions

If your child suffers from a chronic health condition such as asthma, seizures, diabetes, eczema, seasonal allergies, frequent nosebleeds, allergic reactions to foods or insect stings, or any other health condition the school should be aware of, please fill out a Health Plan for the condition.  The Health Plans can be found on the Northside Web Page and there is a Generic Health Plan you can fill out for anything not listed.

Per CHCCS policy, all Health Plans and Emergency Actions Plans will need to be updated each school year.  If you completed a form for your child for the 2014/15 school year, you will need to complete a new form for the 2015/16 school year.   In order to assure that the health care needs of your child are met while at school, please be prepared to bring in all completed forms and medication on or before the first day of school.  The School Nurse or school office staff will be available to accept forms and medication starting in August.  If you would like to schedule a conference to discuss the health care needs of your child while at school, please call or e-mail me, Valerie Minogue, at or call 919-969-2435 x62090 to schedule a day and time to meet.

If your child needs medical care for asthma, please fill out and sign the Asthma Health Plan and have your doctor complete and sign the Asthma Action Plan.  If you would like your child to self-carry his or her rescue inhaler, please discuss this with your doctor and complete the Asthma Self-Medication Authorization Form.  Please be sure to provide a rescue inhaler that is full and not expired.

Asthma Action Plan

Asthma Health Plan

Asthma Action Plan - Spanish

Asthma Health Plan - Spanish

If your child has a food allergy that requires an EpiPen, please fill out the Food Allergy Health History Form and have your medical provider fill out the Food Allergy & Anaphylaxis Emergency Care Plan.  Please be sure to provide EpiPens that ideally will not expire prior to the end of the school year.  If you have not yet filled out a form regarding the food allergy alert for the school cafeteria, please do so.  This form is titled Medical Statements for Students with Special Nutritional Needs for School Meals and can be found on the Northside web page.  Please be sure to complete both Part A and Part B and have your medical provider sign the form.  This allergy alert for the cafeteria only needs to be completed once and will follow your child through all grade levels at CHCCS.  You may contact Lynne Privette at 919-967-8211 x28208 with any questions or concerns regarding school meals.

Food Allergy & Anaphylaxis Emergency Care Plan

Food Allergy & Anaphylaxis Emergency Care Plan - Spanish

Food Allergy Health History Form

Medical Statements for Students with Special Nutritional Needs for School Meals

Medical Statements for Students with Special Nutritional Needs for School Meals - Spanish

If your child has an allergy to stings or environmental allergy, please fill out the following forms:

Seasonal or Environmental Allergies Plan

Health Plan: Sting Allergy

If your child has seizures, please fill out the following forms:

Health Plan: Seizures

Diastat Medication Administration Authorization

If you child has diabetes type 1, please fill out the following forms:

Diabetes Medical Management Plan (ADA)


Diabetes Health Plan

If you child has frequent headaches or migraine headaches, please fill out the following forms:

Health Plan: Headache/Migraine

Request for Administration of Medicines

Additional Health Forms

Health Plan: Generic

Spanish Plan de Salud: Generic

Health Plan: Atopic Dermatitis or Eczema

Health Plan: Nosebleeds

Health Plan: Constipation

Health Plan: Encopresis

Health Plan: Sickle Cell Anemia

Health Plan: Hemophilia

Health Plan: Aortic Stenosis

Health Plan: Paroxysmal Supraventricular Tachycardia

504 Notification: Section 504 of the Rehabilitation Act of 1973 and the American with Disabilities Act prohibit discrimination against any individual on the basis of disability.  A disability under Section 504 means a physical or mental impairment that substantially limits one or more major life activities such as seeing, hearing, breathing, walking, learning, communicating or the operation of a major bodily function.  A student with a disability may be eligible for protections to allow equal access to the educational environment.

Section 504 Notice

Section 504 Notice - Spanish

Please keep the School Nurse informed of any changes regarding your child’s health.  You may print out and send in the Student Health Information Form to the School Nurse to update this information.

Student Health Information

Información de salud del estudiante

CHCCS Wellness Program

The district wellness policy promotes healthier eating options: limits non-nutritious classroom birthday celebrations to one per month; requires that no bake sales are held until after the last school lunch is served; and requests that snacks and lunches brought from home observe the policy.  Elementary School Handbook for Parents

Chapel Hill Carrboro City Schools Local Wellness Policy

Eat Smart, Move More NC

Team Nutrition

NC Prevention

Safe Kids

North Carolina Healthy Schools

Duke's Childhood Obesity Treatment

Directory of  Community Health Services and Providers

Orange County Health Department

Servicios de Salud de Refugiados


Dental SHAC - a free, UNC Dental School student-run clinic

Health Care Providers for Children & Adolescents

Directory of Mental Health Services

Health Screening Conducted at School - To promote academic achievement and classroom attendance by identifying and correcting selected health problems that may interfere with school performance.

  • Vision Screen

    • Students in grades 1, 3, 5, 7 and students on lists provided by ECPF and teacher will be screened by the School Nurse

    • The School Nurse will send a letter of referral to the parent/guardian of students who test at 20/40 or worse in either eye based on two screenings

    • Assist the parent/guardian in obtaining follow-up care if necessary

  • Hearing Screening

    • Contract with UNC Division of Speech and Hearing to provide hearing screening for students in grades K and 1, selected EC students and Student Support Team (SST) referrals

    • Referral letters for appropriate audiology or medical care will be sent to the parent/guardian of students who do not pass the hearing screening

    • Assist the parent/guardian in obtaining follow-up care as necessary