COMMUNITY HEALTH CLINICS/FACILITIES
Southwest Utah Public Health Department (SUPHD) Family Healthcare Clinic (FHC)
Southwest Behavioral Health Center Center (SBHC)
Washington County Children's Justice Center (CJC) - Assistance for children who are victims of abuse or other crimes.
DIET REQUEST FORMS
Both forms below must be filled out and signed by a parent/guardian and a licensed healthcare provider for students that need food related accommodations for meals/snacks at school. Contact your school nurse to see if a healthcare/emergency plan may also be needed. These diet forms only need to be updated if a change is necessary.
- Medical Statement to Request Special Meals
- Medical Statement to Request Special Meal - Spanish
- Medical Authority Checklist
- Medical Authority Checklist - Spanish
HEAL- Health Environments Active Living Program
The Department of Health's Wellness and School Nursing Website is a great resource for a variety of topics relating to Health Care for K-12 students and parents. You can access this site HERE
Coordinate with your assigned school nurse if needed for assistance with challenging cases and re-infestations.
Medical forms must be filled out and signed by a parent/guardian, and a licensed healthcare provider if medication is to be administered. Click links below for forms.
Medication Authorizations (Orders)/IHP/EAP Forms - UDOH
- Allergy Emergency Plan
- Asthma Action Plan
- Diabetes Emergency Plan
- Diabetes Healthcare Plan
- DMMO (Diabetes Medication Management Order)
- Diabetes CGM (Continuous Glucose Monitor) Addendum
- Diabetes Injection (pens-syringe & vial) Addendum
- Diabetes Pump/Smart Pen Addendum
- Generic IHP/EAP
- School Medication Authorization- for general medications that do not have a medication specific form ( ex: ADHD meds, oxygen, Tylenol, G tube meds, pancreatic enzymes, etc.)
- Seizure Action Plan (IHP/EAP)
- SMMO (Seizure Medication Management Order)
Procedure Forms - WCSD
- Medication Calendar - 2022-23
- Medication Calendar - blank
- Medication Incident Report
- Medical Release Form editable or PDF
- Medical Release to Return to School After Surgery
- Medical History English - Spanish
- Parent Permission Only- Student Medication Self-Administration (6 -12th grade only)
WCSD Medication Policy
NALOXONE - Naloxone (Narcan®) reverses and stops an opioid overdose. It saves lives, and is legal to have and administer! Learn More.
How to Recognize an Opioid Overdose video Naloxone Intranasal video Naloxone Injection video
Common Opioids -Signs of an Opioid Overdose - How to Give Naloxone
Naloxone (NARCAN) Nasal Spray Instructions
Naloxone Brochure - Signs/Symptoms of Overdose, Who's at Risk, What to Do/What is Naloxone/How to Give Naloxone
Virtual Training- preregister here, attend the virtual training, and you will be sent a free injectable naloxone rescue kit. All information collected is completely confidential.
SCHOOL NURSE NEWSLETTERS
February-March 2022 Newsletter (English)
October-November 2022 Newsletter (English) (Spanish)
Dec-Jan 2022-23 Newsletter (English) (Spanish)
Feb-March 2023 Newsletter (English) (Spanish)
SCOLIOSIS (SPINAL CURVATURE)
The Utah Department of Health recommends that girls be screened for scoliosis (spinal curvature) twice, at ages 10 and 12 (5th & 7th grade), and boys be screened once at either age 13 or 14 (8th or 9th grade). Click the link below for instructions on how to screen your child at home, or request a screening from your child's healthcare provider. You may also contact your school nurse to request a screening be performed at school.
STUDENT AND PARENT RESOURCES- Academic, Community, Student/Parent Involvement, Help for Homeless
CALL THE SUICIDE PREVENTION HOTLINE AT 988 FOR THOSE WHO ARE HAVING THOUGHTS OF SUICIDE, REGARDLESS OF AGE, OR WHO ARE SEEKING HELP FOR A FRIEND OR FAMILY MEMBER. CALL 911 FOR EMERGENCIES.
A Message of Hope- WCSD Blog
VISION-Eye Exams and Glasses
Parent Checklist to Identify a Visual Problem - Signs/Symptoms
To see if your child qualifies for financial assistance for a professional eye exam and if needed, glasses, contact your child’s assigned school nurse, counselor, or the WCSD Support Services Coordinator/ Homeless Liaison at the District Office.
Utah State Statute (UCA 53G-9-404) mandates vision screening in Utah public schools. The Utah Department of Health (UDOH) requires screening students for basic distance visual acuity in pre-kindergarten, kindergarten, and grades 1, 3, 5, 7 or 8, and 9 or 10. Tenth grade students may be screened as part of their driver education class. Students referred by a parent or school personnel should also be screened during any grade. Students in the grades listed above must be screened annually.
At the start of each school year, a form letter be sent home to the above listed grades informing parents that a vision screening will take place. If you do not want your child to participate in school vison screening, you must return the form to the school indicating your preference.
If a student is referred for a special education evaluation or revaluation, does not achieve benchmark on the reading assessment (grades 1-3), or there is another concern regarding his/her vision, a Symptoms Questionnaire should be completed by the teacher or parent and given to the school nurse. The school nurse will then conduct a higher level of vision screening that includes near vision, eye focusing or tracking, convergence insufficiency, and when available photoscreening.