Health Services

PreK and Kindergarten Immunization Requirements

PreK and Kindergarten students require proof of certain immunizations prior to entering school. Learn more about these requirements:

Information Parents Need to Know About Prekindergarten and Kindergarten

Información los Padres Necesitan Saber Sobre Prekínder y Kínder


Information Regarding Novel Coronavirus Outbreak

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The goal of health screening within a school setting is to detect possible health problems. Early identification and correction of defects will enable students to maximize their educational opportunities during the school year.

A good screening program is well organized, runs smoothly and rapidly; is acceptable to students, teachers, and parents; utilizes personnel efficiently; has neither too many over referrals nor too many under referrals; and is not diagnostic.

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Who: 4-years-old by September 1, Kindergartners, any other first-time entrants
(4 years* through 12th grade)

When: Within 120 days of admission

Who: 1st, 3rd, 5th and 7th graders

When: Anytime within the school year (preferably within first semester)

Acanthosis Nigricans (AN) is a skin discoloration that may indicate high levels of insulin in the blood which results from insulin resistance. Insulin resistance can create a potential risk for the development of Type 2 Diabetes.
Who is screened: Students in grades 1, 3, 5 and 7
When: At the time of the Vision and Hearing test. Throughout the school year.
Spinal screening is designed to detect unnatural curvatures of the spine.
Who: Girls will be screened two times, once in fall semester of 5th grade and once in fall semester of 7th grade. Boys will be screened one time in the fall semester of 8th grade. No mandated screens for girls 13 years or older and boys 15 years or older regardless of no evidence of previous spinal screening results.
When: Spinal Screenings will take place throughout the school year.
A student is exempt from screening if it conflicts with the tenets and practices of a recognized church or religious denomination of which the student is an adherent or a member. The minor student’s parent, managing conservator, or guardian must submit an affidavit stating the objections to screening. This affidavit shall be submitted to the school nurse on or before the day of the screening procedure each year the screening is performed.

Each school nurse will submit an annual report of the screening results to the Health Services Director. Results are submitted to the Texas Department of State & Health Services annually.

The Flu

CDC recommends a three-step approach to fighting the flu

>> Flu Shot Information

The first and most important step is to get a flu vaccination each year. However, if you get the flu, there are prescription antiviral drugs that can treat your illness. Finally, everyday preventive actions may slow the spread of germs that cause respiratory (nose, throat, and lungs) illnesses, like flu.

How does the flu spread?

Flu viruses are thought to spread mainly from person to person through coughing or sneezing. Flu viruses also may spread when people touch something with the flu virus on it and then touch their mouth, eyes, or nose. People infected with flu may be able to infect others beginning 1 day before symptoms develop and up to 5-7 days after becoming sick. That means you may be able to spread the flu to someone else before you know you are sick as well as while you are sick.

What are everyday preventive actions?

Everyday preventive actions are steps that people can take to help slow the spread of germs that cause the flu. These include the following personal and community actions:

  • Cover your nose and mouth with the crook of your elbow or upper arm when you cough or sneeze. This will block the spread of droplets from your mouth or nose that could contain the flu virus.
  • Proper and consistent hand washing is essential. Wash hands with soap and water for 20 seconds. Use a paper towel to turn off the faucet if it is not automatic. If soap and water are not available, use a hand sanitizer; apply to palm of one hand; rub hands together covering all surfaces until dry.
  • Avoid touching your eyes, nose, and mouth as germs spread this way.
  • Avoid sharing objects. If an activity requires the passing around of an object, be sure to wash hands afterwards.
  • Try to avoid close contact with sick people.
  • If you or your child gets sick with a respiratory illness, like flu, limit contact with others as much as possible to help prevent spreading the illness. Stay home (or keep your child home) for at least 24 hours after fever is gone except to seek medical care. Fever should be gone without the use of a fever-reducing medicine.
  • Disinfect common surfaces.
  • If an outbreak of flu occurs, follow public health advice. This may include information about how to increase distance between people and other measures

It is recommended that all students receive a flu shot it not medically contraindicated.

Texas Department of State Health Services website

If your child is uninsured or under-insured, visit the Williamson County Health Department or Travis County Health Department for a listing of immunization and flu shot clinics.

For questions about immunization, contact your campus nurse.

For more information, visit the Center for Disease Control

Protect your “T zone”:

  • Avoid touching your eyes, nose and mouth
  • Touching your face is the easiest way for germs to enter your body

Stay home if you are sick:

  • Stay home if your fever is 100 degrees or greater
  • Must be fever free for 24 hours without the aid of fever reducing medication

Wash your hands:

  • Wash your hands with soap and warm water for a minimum of 20 seconds. Tip: try singing the “ABC song” twice to yourself
  • Make sure to wash all areas thoroughly, including: fingers, between the fingers, palms, wrists and the back of your hands.

Substitutes Needed

Substitute School Nurse (RN or LVN) with valid TX nursing license & CPR certification
Per diem- school term year
Licensed Vocational Nurse | Registered Nurse

State Immunization Requirements

Texas Department of State Health Services Immunization Requirements

Texas Minimum State Vaccine Requirementsfor Students Grades K – 12 (English and Spanish PDF Version)

Documents & Forms

Medication Documents & Forms

Helpful Links

Insure a kid
Vertical Team Contact List
Health Services Campus Rosters

Brandy Hafner
Director of Health Services
Margarita McMillan
Health Services Administrative Associate