JLCA – Student Health Services and Requirements – Cherry Creek Schools Board of Education

The purpose of the school health program shall be to supplement the efforts and guidance of parents/guardians to raise student awareness of the benefits of regular health care. The objectives of the school health program are:

To promote good health habits among students.
To stimulate a sanitary, safe, and healthful environment in school.
To assist in the identification and referral to appropriate health care providers for medical, psychological, and physical needs.

Health Records Health records, including official certification of immunization, shall be maintained by the school and kept in a separate and secure environment to maintain confidentiality. Access to the health files shall be limited to only those school personnel who have a specific and legitimate educational interest in the information for use in furthering a student's academic achievement or maintaining a safe and orderly educational environment. The applicable medical information of students with HIV/AIDS will be treated and maintained in accordance with Policy JLCCA and JLCCA-R Students with HIV/AIDS. To the extent required by law and District policies JRC, JRC-R and JRCA the nursing staff shall maintain a log showing to whom access has been given, when access occurred, and to which specific records access was given. Annual Screening Programs The sight and hearing of all students in kindergarten, first, second, third, fifth, seventh and ninth grades or students in comparable age groups referred for testing shall be tested during the school year by the school nurse, teacher, principal or other qualified person authorized by the District, as required by law. The parents or guardian shall be informed when a deficiency is found. This provision shall not apply to any student whose parent or guardian objects on religious or personal grounds. Communicable Diseases Students showing symptoms of a communicable disease, an infectious condition, or illness or disability of a serious nature shall be referred to the school nurse. The school nurse shall report to the principal for appropriate action the names of students with communicable diseases. The principal shall contact the District Health Services Office for further appropriate actions and recommendations. Administering Medicines to Students Medication may be given legally only by school personnel whom a registered nurse has trained and delegated the task of giving such medication. No prescription or nonprescription medication shall be administered at school by the school nurse or other school designee without the following requirements being met:

Medication shall be in the original properly labeled container. If it is a prescription medicine, the student's name, name of the medication, dosage, time for and how often it is to be administered, name of licensed health care practitioner or prescribing licensed health care practitioner and current date shall be printed on the container.
The school shall have received written permission to administer the medication from the student's licensed health care practitioner with prescriptive authority under Colorado law.
The school shall have received written permission from the student's parent/guardian to administer the medication to the student. When such a request is made by a parent/guardian, a full release from the responsibilities pertaining to side effects or other medical consequences of such medications also must be presented.
The parent shall authorize the prescribing licensed healthcare practitioner to share information about the administration of medication with the District's designated nursing staff.
The parent/guardian shall be responsible for providing all medication to be administered to the student.

Physical Examinations of Students Parents/guardians shall be encouraged to have their children physically examined prior to entering school and again prior to the fourth, seventh and tenth grades. A dental examination shall also be encouraged. Teachers shall be alert to the general well-being of students and shall refer any questionable situations to the school principal or designee. Students may be excused from physical education activities and from curricular requirements relating to physical education activities and from curricular requirements relating to physical education activities upon the statement from a licensed health care practitioner that such participation would be injurious to their health. Parental Consent Parental consent shall be required for all examinations noted above if given by a school health care practitioner or under the auspices of the school. However, parental consent shall not be mandatory to refer a student to public health or other doctors for medical services in connection with pregnancy, venereal disease, or alcohol or drug abuse. The District shall encourage students to seek health services related to such conditions or problems with or without parental consent. As otherwise provided by law, parents/guardians and eligible students (students 18 years of age) shall receive notice and have the opportunity to opt a student out of any non-emergency invasive physical examination or screening (such as routine hearing, vision, and dental screenings) that is:

normally required as a condition of attendance;
administered by the school and scheduled by the school in advance; and
not necessary to protect the immediate health and safety of the student or other students.

Cross References:	IMBB - Exemptions from Required Instruction
	JF - Admission and Denial of Admission
	JLCD - First Aid and Emergency Medical Care
	JLCCA-R - Students with HIV/AIDS
	JLCCA - Students with HIV/AIDS
	JLCC - Communicable/Infectious Diseases
	JLCB - Immunization of Students
	JLCDB - Administering Medical Marijuana to Qualified Students on District Property

Legal References:	C.R.S. § 25-4-409 (parental consent not required to treat minor for sexually transmitted infection)
	C.R.S. § 25-1.5-109 (CDPHE to maintain a standard form for schools to gather information conferring students' food allergies)
	C.R.S. § 24-10-101 (Colorado Governmental Immunity Act)
	C.R.S. § 22-32-139 (policy required regarding management of food allergies and anaphylaxis among students)
	C.R.S. § 13-22-102, 103 (minor may consent to medical treatment)
	1 CCR 301-68 (rules regarding asthma, food allergies and anaphylaxis)
	C.R.S. § 12-38-132 (delegation of nursing tasks)
	C.R.S. §22-1-119 (no liability for adverse drug reactions/side effects dispensed on written instructions from parent)
	C.R.S. §22-1-119.5 (Colorado School Children's Asthma, Food Allergy and Anaphylaxis Health Management Act)
	C.R.S. §22-32-109 (i)(ee) (duty to adopt a policy prohibiting personnel from recommending or requiring certain drugs for studentsor ordering behavior tests without parent permission)
	C.R.S. §22‑1‑116 (vision and hearing tests)
	C.R.S. §22-2-135 (Colorado School Children's Food Allergy and Anaphylaxis Management Act)
	C.R.S. §22-33-105 (suspension, expulsion, denial of admission)
	C.R.S. §22‑33‑106 (2) (grounds for suspension,expulsion, denial of admission)
	C.R.S. § 25‑4‑901 (school entry immunization)
	C.R.S. §25‑6‑102 (dissemination of contraceptive information)
	20 U.S.C. §7906 (prohibition against the use of Title I funds to operate a program of contraception in the schools)
	6 CCR 1010-6.13 (requirements for health services in schools)

Adoption Date: October 13, 2003 Last Revised: June 11, 2018