Health Services

The Pickerington Schools Health Services Department is comprised of school nurses and health assistants. The goal of the staff is to promote optimal wellness among the students and to support student success. Health assistants work under the direction of the school nurse in order to provide health care for students during the school day.

Health and Dental Records (Forms)

Medical Health Record

The linked medical health record form (PDF) must be filled out for children attending Pickerington Preschool. Medical health record form (RTF) also available.

Dental Health Record

The linked dental health record form must be filled out for children attending Pickerington Preschool.

Allergy and Asthma Action Plans

Visit the Food Allergy Research and Education website to download the Allergy action plan (Food Allergy and Anaphylaxis Emergency Care Plan form)

Visit the American Lung Association website to download the Asthma action plan for Home and School.

Administering Medications At School

General Information and Form

Prescription medications
In the event your child needs to take prescription medication while at school, the preschool Request for Administration of Medication by School Personnel form must be completed by the child’s physician and parents.  Request for Administration of Medication by School Personnel (RTF) version available.

Nonprescription medication such as Advil, Tylenol, cough drops, etc. may be administered to students if the parent/guardian brings in the medication along with written permission for the medication to be given. All medications must be sent in the original container. Dosages cannot exceed the manufacturer’s recommendations for age and weight.  We must have a note from the doctor to give a dose of medication that is different than the dose stated on the bottle.

For additional information, see Board Policy 5330 and 5330 AG.

Over the Counter Ointments and Non-prescription Medication (Forms)

The following form must be completed in order for over the counter ointments to be applied at Pickerington Preschool.

Over the Counter Ointment Permission form (PDF)

Over the Counter Ointment Permission form (RTF)

The following form must be completed in order for non-prescription medications (PDF) to be dispensed at Pickerington Preschool.  Non-prescription medications form (RTF) is also available.

Resources and Information

Child Medical Statement for Child Care

The Ohio Job and Family Services provides the following statement for child care (PDF) for preschool attendance in Ohio.

Statement for Child Care (RTF)

Health Concerns

Before the start of each school year, please be sure to contact your school nurse and child’s teacher to discuss any health concerns your child has, including severe allergies, seizures, diabetes, asthma, and current medications. During the school year, please be sure to update the school nurse and teacher of any new or changing medical conditions or medications.

Illness and Injury

Any student will be sent home if he or she has a temperature of 100 degrees or higher, vomiting, diarrhea, or signs and symptoms of a possible communicable disease.

Please keep students home until they remain fever-free for 24 hours without the aid of medication and are free of vomiting or diarrhea symptoms for 24 hours prior to returning to school. All children with suspicious rashes must be excluded from school until the rash has been determined non-contagious by a doctor.

Information About Common Childhood Health Issues

Severe Allergies

Students attending Pickerington Schools who have been diagnosed with potentially life threatening allergies require special attention while at school.

The district has developed board policy JHCF-P to address food allergies. The guidelines provided in that policy may be adapted in case of other life threatening allergies such as insect bites, medication reactions and latex allergies.

Role of the School Nurse

  • To collaborate with school personnel, health care professionals, students, and family members in order to develop appropriate management procedures
  1. If requested by parents/guardians, an allergen-free table will be available for use during lunch periods o Parents/guardians should be notified in advance of any in-class events where food will be present.
  2. On field trips, all food for the food-allergic student should be provided by the parents/guardians.
  • To utilize the information provided to plan and implement interventions and to provide allergy and anaphylaxis related education and training to pertinent school staff
  • To complete an Individualized Health Care Plan or Food Allergy Action Plan. These plans should be accessible to school staff.
  • To provide for the safety of students by educating and training school staff to assist in routine and emergency care whenever necessary. Training to include how to recognize the signs and symptoms of a severe allergic reaction, how to administer epinephrine or other emergency treatment, and calling 911 as soon as possible when an allergic reaction is suspected.

Role of the Parent

  • To inform the school nurse of known allergy prior to the school year or with new diagnosis.
  • To return the required medical forms to the School Nurse. Forms must be completed and signed by the healthcare provider in order to administer or self-carry any needed medication.
  • To provide a safe alternate snack/treat to be kept in the classroom for their student.
  • To work collaboratively with school staff to insure optimal health and safety for your child.

Role of the Student

The long-term goal for individuals with life threatening allergies is to be independent in the prevention and management of their allergies and allergic reactions based on their developmental level.

  • Never share or trade food
  • Do not eat anything with unknown ingredients or ingredients known to contain an offending allergen.
  • Wash hands before and after eating.
  • Notify an adult if suspected allergen exposure.

Resources and Forms

Food Allergy Action Plan

Insect Sting Reaction Record

Epi-pen Authorization Form (PDF) | Epi-pen Authorization Form (RTF)

For additional information, please check the Food Allergy Research and Education website.


Students attending the Pickerington Schools who have diabetes mellitus require special attention while at school.

The following are guidelines for the care of a student with diabetes.

The Role of the School Nurse

  • To collaborate with school personnel, medical professionals, and family members in order to develop appropriate management procedures.
  • To use the information provided to plan and implement interventions and to provide diabetes related education and training to appropriate staff members.
  • To complete an individualized health care plan (IHP) and or emergency care plan for each diabetic student. Copies of these plans should be located in the school clinic. The plan contains guidelines for treatment of potential complications such as hyperglycemia and hypoglycemia, signs and symptoms commonly experienced by the individual and detailed instructions for care in the event of an emergency.
  • To evaluate the effectiveness of the plan throughout the school year and implements revisions as necessary.
  • To provide for the safety of students, by educating and training school staff to assist with routine and emergency diabetic care whenever necessary.
  • To facilitate the development of the student’s self-care skills so they will be able to achieve independent diabetes management.

Parent’s Responsibility

  • To return the required district medical forms to the school nurse. The forms must be completed and signed by the health care provider directly involved in the management of the student’s diabetes care.
  • To provide all diabetic supplies and snacks to be utilized during the school year.
  • To work collaboratively with school staff to ensure optimal health and safe care for your child

Student’s Responsibility

  • Demonstrate age-appropriate responsibility for self-care while at school.
  • Be independent or work towards independence in performing their own diabetes care, such as blood glucose testing and insulin injection, is strongly encouraged. Assistance with these tasks may be provided by the school nurse, health care assistant or other trained non-medical staff on an as needed basis depending on the student’s age, level of independence and maturity, health care provider’s order’s, etc.
  • Test blood sugar and perform insulin injections in the school clinic unless the health care provider specifically requests an alternative site.
  • Dispose of all sharps, such as lancets and needles, in the provided biohazard containers.
Head Lice Management

Pickerington Schools operate using no exclusion evidenced-based practice, which means that a student suspected or confirmed to have head lice or nits shall remain in school and is not isolated or otherwise subjected to restrictions of activities.

The student’s parent or guardian shall be informed that their child is suspected of being infested by head lice and will be offered information and guidance on the biology and management of the condition. It is expected that the parent or guardian will provide appropriate treatment for the condition and the student will return to school the next day.

Guidelines for Management of Head Lice and Nits

PLSD operates on a no exclusion evidenced-based practice supported by the American Academy of Pediatrics, the Centers for Disease Control, and the National Association of School Nurses.

Reminders to staff and parents or guardians on lice prevention and management will be sent home to families at regular intervals throughout the school year in an effort to sustain a positive attitude toward containment of head lice/nits and discourage head-to-head contact.

When a school staff member is notified by a parent or guardian that a student has lice, the staff member will notify the building school nurse. The school nurse will contact the parent or guardian to provide information about diagnosis and management of lice. The nurse will offer services (if needed) to support the family.

Confidentiality of a student with suspected or confirmed lice or nits will be maintained.

By the end of the school day, the school nurse will notify parents or guardians of students with suspected lice or nits by phone. The student will not be excluded from school and may be transported home by bus.

The school nurse and building principal shall work with the parents and guardians of any student who has been determined to have a chronic infestation of head lice. This will be done through advocating for the education of staff, students, and parents or guardians about head lice and promoting evidenced-based management for students with head lice.

10 Ways to Stay Healthy

Encourage good hand washing. According to the CDC (Centers for Disease Control) the number one method for controlling the spread of disease is hand washing. Make sure you use soap, warm water, and wash all surfaces of the hands. A simple way to ensure you have washed long enough is to silently sing the “Happy Birthday” song to yourself twice while washing. Follow washing with a good rinse, pat hands dry, and use the towel to turn off the faucet to avoid getting hands dirty again. Wash hands after blowing the nose, playing with pets, before eating, after using the restroom, or when they are visible dirty.

Make sure your child gets enough sleep each night. Children should get between nine and ten hours of sleep each night in order to feel rested. Those who do not get enough sleep are often groggy, irritable, and have decreased alertness in school. It’s easy to see how school performance and behavior are negatively affected when children are not rested.

Make sure your child eats breakfast each day. Studies have shown that children who eat breakfast actually do better on tests, and are better able to fight off disease and infection. Breakfast should consist of wholesome nourishing foods such as cereal, fruit, juice, milk, eggs, peanut butter, toast, etc.

Encourage your child to drink plenty of water. Many of the complaints that bring students to the clinic can be attributed to dehydration, such as headaches, stomachaches, sore throats and nosebleeds.

Dress your child appropriately for the weather. Children who are too hot or too cold will have difficulty concentrating. During the winter months hats decrease heat loss through the head, and gloves protect against frostbite. Proper footwear should also be considered: boots during snowy times, shoes and socks during more mild weather. “Flip-flops” are never appropriate footwear for school.

Cover your mouth and nose when sneezing or coughing. Cold and flu germs are spread though the air. Covering the mouth and nose can decrease the spread of germs. Teach your student to cough/sneeze into his/ her bent elbow, thus decreasing the amount of germs in the air, and keeping the hands cleaner.

Keep your student home if he/she has a fever. For school purposes, a fever is 100 degrees F. Your child needs to be fever free for 24 hours without the use of medication prior to returning to school. Even if your child feels better, fevers often return if he/she is sent to school too soon. Keeping your child home will also help limit the spread of disease to other students.

Keep your student home if he/she vomits during the night. As with fevers, vomiting often occurs again if the child is sent to school too soon. Keeping him/her home allows for rest and recovery, and protects other students from exposure.

Follow directions on medication prescribed for your child. If your child has been prescribed antibiotics or eye drops for pink eye, please make sure the medication is completed, even if your child feels or looks better. This medication must be taken in its entirety in order to ensure the condition is resolved. Failure to finish antibiotics may allow the condition to return.

Consider your home environment. Remember the old adage: Children learn what they live. Modeling healthy behavior can help your child learn healthy habits. Children are more likely to adopt healthy behaviors such as good diet, daily exercise, and not smoking when the home environment encourages it. Also, studies have shown that second hand smoke increases the likelihood of respiratory illness in children.