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Health Office

Lisa Shepard, RN lisashepard@sau53.org  Bonnie Heisey, RN bheisey@sau53.org  phone    603.463.7422, ext. 107, or direct line 463.3107  fax: 603.463.2839 
Please feel free to contact us if you should have any questions. 
May 19, 2016
Health office in need of baby wipes and/or face cloths, as well as girls underwear, all sizes. Thank you!


March 23, 2016
Please Note Update! 
Donations Accepted:
  • Baby wipes
  • Clorox wipes
  • Small water bottles
  • Boys  outer pants, sizes 6, 8
  • Girls outer pants, sizes 6, 8

Thank you in advance.  As always, your contributions are appreciated!

Health Forms


General Paperwork
Paperwork will go home with your student the first week of school, so please fill out and return ASAP so that we may administer over-the-counter medicines such as acetaminophen, ibuprofen, and Benadryl with your written permission.  The health office supplies tablets, liquid and chewable forms of acetaminophen and ibuprofen.  If your child requires another OTC med  (cough or allergy med, cough drops or lozenges), please provide the medicine in original container with written approval by parent/guardian and bring in to us so that we may keep them in health office med closet and give them as needed.  This also includes the application of insect repellent or sunscreen.  You may apply to your student in the morning before school, or bring in to teacher or nurse with written permission for one of staff members to apply during the school day.


Prescription Meds
Any prescription medication your child needs to take during the school day follows the same protocol as for OTC meds, but will also require PCP authorization (order and signature) on file. Please do not send any meds (OTC or Rx) in with your child as they are not allowed to transport meds of any kind, unless we receive written authorization from PCP and parent that they may do so (Epi pens, Inhalers, etc).  Bring medication in and meet with nurse to be sure we have proper paperwork on file.  All medications need to be in original containers and not yet expired, then picked up last week of school by parent/guardian.

New School Year
All MD orders and parental permission forms must be renewed each school year (effective July 1st ~ June 30th).  In other words, if your child had MD orders and parental permission for health office to administer an Rx (or OTC) medication when they were in 5th grade, and they will continue to require medicine in 6th grade, then we will need updated forms to administer meds when they are in 6th grade.  Please note we have added common forms on this site so that you may download and print at your convenience.  Some of these include:  

  • Annual Student Health Service Report (includes parental permission for meds health office provides: Tylenol, Ibuprofen, Benadryl)
  • Short-Term Over-the-Counter Medication (parental permission for cold or allergy med, etc.)
  • Administration of Medication in School (Rx PCP and parental permission)
  • Emergency Plan for Medically at Risk Students (Food or Bee allergies, Diabetics, Seizures, etc.)
  • Permission to Carry and Self-Medicate for Asthma (Inhalers) (PCP and parental permission)
  • Permission to Carry and Self-Medicate for Epinephrine Auto-Injector (PCP and parental permission)
  • Certificate of Religious Exemption

Physical Exams and Immunizations
Please obtain a copy of student's latest physical examination at each regular visit to PCP office. This information is helpful to the health office, which includes allergies, physical assessment, restrictions, medications, etc.  Any student who plays sports must have a copy of the physical exam on file within the past two years.

Each visit where an immunization is given, we ask that you acquire a copy of this for the health office as well.  A medical or religious notarized exemption form must  be on file for those students who opt out of the NH required immunization schedule.

In the event you have a change in any of your contact information, we ask that you notify the DCS front office.  We want to be sure we are able to reach a parent/guardian in a timely manner if they need to be dismissed from school, or in the event of an emergency.

Keep Students Home If...
Students must remain out of school if they present with any of the following symptoms:
  • Temperature of 100 F or higher.  Students must stay home for a minimum of 24 hours without the use of fever-reducing medicines.
  • Diarrhea and/or vomiting within last 24 hours.
  • Persistent upset stomach or headache.
  • Sore throat with fever and/or swollen glands.  Wait for throat culture results before sending student back to school.  Positive results require antibiotic treatment for 24 hours before returning to school.
  • Rash of unknown origin.
  • Red, itchy, painful eyes.
  • Known head lice.  Live lice require immediate treatment, after which student may return for remainder of treatment regimen.
  • Any confirmed communicable disease/condition:  influenza, mononucleosis, staph infection, etc.
Please notify the health office upon positive results for any communicable disease as we report known cases annually to the NH DHHS.

Annual health screenings performed by the health office include:
  • Vision and Hearing, grades KG-5 (grades 1/3/5 vision screened by Dr. Susan Fischer).
  • Dental hygiene (with permission), grades KG-4.
  • Blood pressure, Grade 5.
  • Heights and weights, KG-8.

DCS is known as a Safe School, having over 80% of its staff certified in CPR and First Aid.  Staff may take initial or renewable classes every two years, as offered by a local rep for the American Heart Association.