Health Aide & Concussion Coordinator

Marianne Hislop,, 303.982.5230

District Registered Nurse

Carole Coukos,, 720-483-5341



Masks/face coverings – All adults and students are required to wear a face covering/mask when on school grounds, with the exception of eating and drinking and designated ‘mask breaks’ outside.

Hand washing/sanitizing – All adults and students will wash or sanitize hands throughout the school day and at designated times determined by the teacher.

Symptom Screening – Each day, adults and students will be required to take part in the symptom screening process upon entrance into the school building. Any adult or student with a temperature of 100.4 degrees Fahrenheit or higher will need to be dismissed from school and go home and a district nurse will follow-up. We are also asking all adults and students to stay home when they are feeling ill with any of the following symptoms: fever, cough, shortness of breath/difficulty breathing, sore throat, nausea/vomiting/diarrhea, muscle/body aches, and headaches.


Dear Parent/Guardian,

In an attempt to limit the spread of COVID-19, it is important to promptly identify, separate, and ensure that symptomatic students are evaluated and treated as necessary. Many possible COVID-19 symptoms may be similar to common allergy symptoms and it is often difficult to tell the difference.

If your child experiences known seasonal allergies, please request a note from your child’s medical provider stating what typical symptoms your child may exhibit when experiencing allergies. This will allow the district RN to have a baseline of possible symptoms for your child and will be less likely to send your student home for suspected illness.

The medical provider must be licensed in the state of Colorado and have current prescriptive privileges.

The medical provider note should include the following:

● What the child is allergic to

● What symptoms are typical for the child

● What allergy medications the child takes to treat symptoms

Each symptomatic child will be evaluated on a case by case basis and the district RN may be contacting you for more information.

Thank you very much for your understanding and patience during this unusual time.

Jeffco Immunization Forms:

** Immunization Exemption Information **The process for personal or religious immunization exemptions has changed. Please see the bullet points under exemption for more information.

Medical Exemption Form

  • Students with a completed Certificate of medical exemption (signed by a medical doctor, doctor of osteopathic medicine, advanced practice nurse or delegated physician's assistant) need to submit this Certificate only once unless the student’s information or school changes.

Non-Medical Exemption Form (Religious/Personal Beliefs)

NOTE: If you sign a Non-Medical Exemption Form for any school year, you will need to fill out another for the following school year. Non-Medical Exemption forms do not roll over for the following year. If your student has received their immunizations, please proved an update immunization record.

Non-medical exemptions must be submitted annually at every new school year (July 1 through June 30th of the following year). There are two ways to file a nonmedical exemption.

○ File the Certificate of Nonmedical Exemption WITH a signature from an immunizing provider, OR

○ File the Certificate of Nonmedical Exemption received upon the completion of our online education

module. Downloadable certificates and our online education module are available at

Medication Agreement Forms

For medication to be administered in the School Health Room by the Health Aide. All medication is provided by parent/guardian.

Medication Agreement

Health Care Plans

For students with health concerns that need to be monitored and procedures followed in the event of a health emergency.

Colorado School Asthma Care Plan

Colorado Allergy and Anaphylaxis Emergency Care Plan and Medication Orders


What is a concussion? What are the signs and symptoms?

Colorado High School Activities Association Concussion Policy (CHSAA)

Community Health Clinics

Appointments 303-423-8836

5150 Allison St, Arvada

645 Parfet Street, Lakewood

Call for an appointment 303-232-6301

Appointments for all locations: 303-360-6276

Alameda High School, Lakewood

Jefferson High School, Edgewater

Stein Kids Clinic, Lakewood

Arvada and Wheat Ridge clinics