Student Health Services

The Camas School District Health Services Department, comprised of registered nurses and health assistants, promotes a partnership with parents, students, licensed health care providers, and various school staff members. Your child’s health is important to us because healthy children learn better. Below is important information regarding health issues. If you have any questions or concerns, please contact your school’s nurse/health assistant or the School Health Services & Nursing Supervisor, who is located at Liberty Middle School, at 360-833-5850 ext. 7414.


Any health information you provide will be kept confidential. Information is shared on a need-to-know basis with other staff. Please notify us when there are any changes in your child’s health and/or there are any changes in emergency contact information. It is imperative we are able to reach a parent/legal guardian during school hours.

Student Health Inventory

“In order to safeguard the school community from the spread of certain communicable diseases the district shall require that the parents or legal guardians shall complete the Student Health Inventory (SHI) at the beginning of each school year” (3414 Infectious Diseases – Camas S.D. policy). This form is available at this site on the Notices and Forms page and at each school office. The SHI form assists staff members in identifying children with a life-threatening health condition.

Life-Threatening Health Conditions

Washington State law (RCW 28A.210.320) directs school districts to require the presentation of a medication or treatment order for a child’s life-threatening health condition that may require medical services to be performed at the school. The medication or treatment order must be presented prior to the student’s attendance or continued attendance if already in school. The order must be from a Licensed Health Professional (LHP).

“Life-threatening condition (such as severe bee sting or food allergies, severe asthma, unstable diabetes, severe seizures, etc.) means a health condition that will put the child in danger of death during the school day if a medication or treatment order and a nursing plan are not in place.” It is the LHP’s medical diagnosis, the related severity of such diagnosis, and the need for a nursing plan (emergency care plan) that establishes the need for a medication or treatment order at school. If a medication or treatment order is not provided, the superintendent/principal of the school is REQUIRED to exclude the child until such order has been provided.

Authorization for Medication/Treatment at School

If your child requires daily/occasional oral medication, it is preferred that you arrange for administration times outside of regular school hours. However, if this is not possible, in order for your child to receive medication at school, WA state law (RCW 28A.210.260) requires written authorization from a LHP and parent/legal guardian prior to the administration of any medication (prescribed or over-the-counter) or treatment at school. Please complete a copy of the Authorization for Administration of Medication form at the Notices and Forms page on this site or from your child’s school, and return it prior to the first day of school.

  • The request for administering medications at school must be in written form from the LHP prescribing within the scope of his/her prescriptive authority.
  • The request must state that there exists a valid health reason which makes administration of the medication advisable during school hours. The request is not the prescription nor will the bottle label meet the statutory requirement for a request from a LHP.
  • Written, current, and unexpired instructions must be obtained from the LHP regarding the administration of prescribed medication to students who require medication for more than 15 consecutive days.
  • All medications must be brought to the school by the parent in the original pharmacy labeled bottle. Do not send the medication with your child. When you bring in your child’s medication, please allow for the necessary time to count the medication and to complete the proper documentation.
  • No more than a 20-day (one month) supply of oral medication is allowed.
  • The student shall be authorized to possess and self-administer asthma/anaphylaxis medications if – the parent/legal guardian & LHP complete the Authorization for Administration of Medication form and the LHP and R.N. at the school observe the skill necessary to use the medication/device properly.
  • A student’s authorization to possess/self-administer medication for asthma/anaphylaxis may be limited/revoked by the building principal/the school’s R.N. & the student’s parents/legal guardian if the student demonstrated an inability to responsibly possess/self-administer such medication.
  • The parent/legal guardian must sign a statement acknowledging that the district shall incur no liability as a result of any injury arising from the self-administration of medication by the student – see Authorization for Administration of Medication.
  • Backup asthma/anaphylaxis medication, if provided, shall be kept at a location in the school to which the student has immediate access in case of an emergency. Backup medications are highly encouraged!
  • High school students will be allowed to carry a one-day supply of over-the counter medication. The over-the counter medication must be kept in the original container. Students will be subject to disciplinary action if they give any medication to other students for consumption.

Health Room

We have health rooms staffed primarily by health assistants to be used for emergencies/urgent situations. We do recognize that children may become ill while at school; in that case, you would be notified to pick up your child. (See “Guidelines for Keeping Ill Children at Home.”)If changes occur in emergency contact information, please notify your child’s school.


Upon enrollment in the district, a Certificate of Immunization Status distributed by the Washington Department of Health shall be completed by the student’s parent/legal guardian. The certificate shall be part of the student’s permanent record. If a student has not received any or all of the required immunizations, he/she shall submit evidence of the initiation of an immunization schedule and be placed in a “conditional admittance” category. Exemptions from one or more vaccines shall be granted for medical reason upon certification by a physician. Exemptions for personal or religious reasons shall be granted upon request of the parent. An exempted student will be excluded from school temporarily during an epidemic.

Meningococcal Disease Information

Effective July 1, 2005, WA State Legislature RCW 28A.210.080 (adding section 2) requires schools to provide meningococcal disease information at the beginning of every school year to parents/legal guardians of students beginning with sixth grade entry and above. Please click here to view the meningococcal disease information.

Head Lice

According to the American Academy of Pediatrics, no-nit policies in schools are detrimental, causing lost time in the classroom, inappropriate allocation of the health services team’s time for lice screening, and a response to infestations that is out of proportion to the medical significance. Transmission of lice occurs most often among family members due to the close proximity of living conditions. Misdiagnosis of head lice infestation occurs frequently and causes inappropriate exclusion from school and unnecessary treatment with pediculicides. Camas School District supports NOT having a no-nit policy and its procedure reflects the best evidence-based management and treatment options. Educating parents/legal guardians and community regarding scientific facts about head lice is imperative, thus enabling students with head lice and/or nits to remain in school. Please review head lice information guidelines.

Vision and Hearing Screenings

Washington State law (WAC 246-760) requires schools to conduct auditory and visual screenings of students each year.  All students in preschool through 3rd grade, 5th and 7th grade are screened.  Any students who meet any of the following criteria are also screened:

  • New to the Camas School District
  • Students receiving Special Education services
  • Screening requested by parent, guardian, or staff

If your child is not scheduled to be screened this year, you may request a screening by contacting your registered nurse at your child’s school.  Please include your child’s name, school, grade, teacher, and any concerns you may have.

Parents who DO NOT want their child screened for either vision and/or hearing will need to send a letter to their child’s school each year indicating their child is to be excluded.  Please contact the Health Services Supervisor at 360-335-3000 ext. 75746 if you have any questions.  Additional information regarding the vision and hearing screening process is available from your registered nurse at your child’s school.

Vision screening is done using a Snellen E-Chart, hand chart, or standard Snellen distance acuity chart.  Students who wear corrective lenses are screened with the lenses on, and each eye is tested separately.  Visual acuity of 20/30 or better in each eye is considered passing in grades 1st thru 12th grade.  Preschool and kindergarten pass at a visual acuity of 20/40 or better in each eye.  Parents are informed by mail if their child does not pass the school standard screening.

Hearing screening is done using equipment providing tonal stimuli at 1000, 2000, and 4000 hertz (Hz) at hearing level of 20 decibels (dB).  Student’s screenings are performed by the ESD 112 audiologist.  Students who do not pass the hearing test are re-screened at a later date.  Parents are notified by mail if their child does not pass the second screening.

Evaluation by an eye care or hearing specialist is recommended for students who do not pass their vision or hearing screenings.  If you have any questions regarding the results of your child’s screening, please contact the registered nurse at your child’s school.

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