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Rachel Fowler

oStudents must

be healthy

to be educated and

educated to be healthy.










Texas Department of State Health Services regulation states, “School District should not provide any medications for student or personnel” Only medication provided by and requested by a parent/guardian will be dispensed.  If you would like Over the Counter,(OTC) - non-prescription medications to be given on an as needed basis. (Such as Tylenol, Ibuprofen, Pepto-Bismol etc…..) you will need to request a permission form and  return it with the medication (s).   This form may also be used for short term prescription medications, such as antibiotics.  If your child will be taking medication daily, please pick up a separate medication administration forms in the nurse’s office. There will be forms for both the parent and the doctor to complete.  Texas State Medication Guidelines

Click HERE for over the counter medication consent form 

Click HERE for physician authorization form



Every year a number of students become ill because of exposure to other children in the classroom.  To help you make the decision about whether or not to send your child to school, refer to the following guidelines.  If your child displays any of these symptoms, it is important to keep your child at home.

  1. Fever:  Fever over 100.0 degrees.   Student must  fever free for 24 hours without the aid of medications.  Example:  if your child goes to bed with 101 and awakes with 97.6, keep them at home.

  2. Nausea or vomiting, and/or diarrhea:  If your child wakes up with vomiting or diarrhea keep him at home.

  3. Cough:  Persistent cough can indicate severe cold, bronchitis, flu or pneumonia.   

  4. Sore throat with fever and /or white spots on the throat.  This could be a sign of Strep throat and is contagious and should be evaluated by a physician.

  5. Rash with fever.  Should be evaluated  by a physician

  6. Red, itchy and draining eyes.  Should be evaluated  for “pink eye” which is also contagious and must be on antibiotic eye drops  for  24 hours before returning to school or symptom free.

  7. Earache or toothache pain at a level that may interfere with learning

  8. Head lice:  A child must remain at home until treated with medicated shampoo and all of the nits have been removed. Parents should accompany thier child to nurses office before returning to class. Please notify the nurses office. CLICK HERE for additional information on what to do if your child is sent home with lice

  9.  CDC recommendations for lice :


The close of the 80th Legislative Session resulted in the passage of House Bill (HB) 1059, which requires DSHS to create a list of the required immunizations for school attendance and a list of the recommended vaccinations. The required immunization list, although already in existence as the Minimum Immunization Requirements, has been updated. DSHS follows the Advisory Committee on Immunization Practices (ACIP) recommended immunizations, thus this schedule will serve as the department’s recommended list of vaccinations.

Click HERE for Immunization requiremnents.

If you have any questions, please call 409-547-2240, ext 214  

Rachel Fowler, LVN,  Fred Elementary Campus Nurse 

Rachel Fowler

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School Phone:
409-429-3240 ext 214