Health Services

FCS employs registered nurses to coordinate and manage the health needs of students at school. A coordinated school health program has three levels of prevention: primary (including immunization monitoring/compliance, evaluating the school environment to identify/eliminate potential health hazards, and educating students, families, and staff on common health issues); secondary (early identification of health issues by reviewing health assessments, screening for vision issues, and assessing/referring students for acute physical or emotional problems); and tertiary (providing services to maximize access to the school environment by developing and overseeing individual health/emergency care plans, administering/delegating care/treatments as prescribed by a licensed health care provider, and training/monitoring the provision of specialized health care procedures). According to the CDC, "School health services intervene with actual and potential health problems, including providing first aid, emergency care, and assessment and planning for the management of chronic conditions (such as asthma or diabetes). In addition, wellness promotion, preventive services and staff, student and parent education complement the provision of care coordination services. These services are also designed to ensure access and/or referrals to the medical home or private healthcare provider. Health services connect school staff, students, families, community and healthcare providers to promote the health care of students and a healthy and safe school environment." Health services provided may be both planned and unplanned and some require written consent.

Planned Services that Require Prior Written Consent

• Medication administration - requires written authorization from a licensed healthcare provider and written parental consent.
• Specialized healthcare procedures (diabetes care, tube feedings, catheterizations, etc.) require written authorization from a licensed healthcare provider and written parental consent.
• Individual Vision Screenings - requires written parental consent
• Health Screenings for Exceptional Children's Evaluations - requires written parental consent

Unplanned Services that do not Require Prior Written Consent (Students presenting to the health office)

• Emergency care for illness/injuries that occur during the school day - may include basic assessment and vital signs (temperature, heart/respiratory rate, blood pressure) if warranted; basic first aid (cleaning wounds with soap and water; covering wounds with a dressing, ice packs)
• Basic one-on-one health education and counseling may include topics related to emergency care for illness and injury, the management of chronic health conditions such as asthma or diabetes, nutrition, hygiene, infection control and prevention, mental health, substance abuse, puberty/reproductive health, violence/bullying/relationships.
• Review and follow up on submitted injury reports
• Monitoring  immunization compliance
• Communicable disease surveillance
• Referrals for community health care as needed

Planned Services that Parents May "Opt Out" of (Parents will be notified prior to these events and can choose to opt out of having their student participate by sending in a written note prior to the event)

• Mass Vision Screening (Provided to grades 1, 3, 5, and 7 district-wide) typically occurs in the fall.
• Puberty education (Provided to 5th-grade students as part of the standard course of study) typically occurs in the spring.

Allergy Management Form (Epi-Pen order)

Diet Order form for Students with Unique Mealtime Needs

Elementary School Medication Authorization Form

Health History Form

Middle & High School Medication Authorization Form

Over the Counter Medication Form (Grades 6-12)

Return to School Following Surgery or Extended Illness (Physician Authorization Form)

Specialized Healthcare Procedures Form

Student Medical Absence Form

Alliance for a Healthier Generation

American Diabetes Association

Center for Disease Control

Franklin County Health Department

Human Papilloma Virus

Influenza Information

Meningitis Information

NC Immunization Branch

NC Senate Bill 911

Recommended Vaccine Schedules