Click for Wilkins Project Information
Heather McGibbon
Health Assistant Wilkins
Phone(s): 603-673-2343 (Clark) / 603-673-4411 (Wilkins)
Fax: 603-672-5114 (Clark) / 603-673-0968 (Wilkins)
Email: cwshealthoffice@sau39.org
Coming Soon...
If it is necessary that your child take medicine while at school a written physician's order and parent release form must be submitted for both prescription and over the counter medication. The order must state the name of the medication, the dosage, time and reason for the medication. All medications must be brought to the school by an adult. Medications must be in the original packaging.
Yes, physician's orders for medication must be renewed yearly. All medications kept in the nurse's office must be picked up at the end of the school year by an adult otherwise they will be discarded.
District policy states that a child well enough to attend school is well enough to participate in all activities. However, there are times when children with specific serious or chronic health conditions may need a program adjustment. We will try to accommodate your child's needs whenever possible. Please notify the nurse if your child has had a recent injury, serious illness, or surgery which may require activity restrictions. Parents need to provide the school with a note from the attending physician describing the type of restriction and its duration. Parents are asked to provide a follow-up note from the attending physician after the initial phase has expired.
Yes, as long as the school nurse has on file a written physicians' order and parent release for the medication. It must say that the child may hand carry and self-administer.
If the child has any of the following symptoms, they must stay home until symptoms have resolved for at least 24hours without the use of medication:
Fever of 100 or greater
Diarrhea or vomiting
A persistent cough
An unfamiliar rash
For information on required immunizations, please visit the New Hampshire Department of Health and Human Services
(Be sure to scroll down to "Required for School Year...)
• Obtain an order from the prescribing physician*.
• Sign that order or provide an additional note as the parent/guardian that agrees to the physician's order and gives SAU39 parental permission to administer medication to your child at school.
• Medication must be provided in the original prescription container from the pharmacy.
• The prescription must be brought in by a parent or legal guardian.
• Students with asthma and/or life threatening allergies can carry and self-medicate inhalers and/or Epi-Pens as long as there is a written note from the prescribing care provider and written parent/guardian permission on file in the Nurse's Office.
*At the beginning of every school year, a new medical order must be provided by your student's physician dated after July 1 for ADHD medications and Allergy, Asthma, and Seizure Action Plans. These orders expire at the end of every school year.*
Allergy Action Plan-FARE:
https://drive.google.com/file/d/1IyJFDhALCwluSQx_pOvBhmvl4Fp56xjr/view
Allergy & Anaphylaxis Action Plan:
https://drive.google.com/file/d/1Vegbvg5p1AGEk4BeebF0iaG9dR09oVmT/view?usp=drive_web
Seizure Action Plan:
https://www.epilepsy.com/sites/default/files/2023-08/SeizureActionPlan2023ACCE.pdf
Asthma Action Plan:
New Hampshire Childcare/School Immunization Religious Exemption Form:
https://www.dhhs.nh.gov/sites/g/files/ehbemt476/files/documents2/imm-cert-religious-exemption.pdf
Dietary Restriction Form:
https://drive.google.com/file/d/1SEVKHebLFhceGe4GMLMkt92PwAgtrUpk/view
Daily Medication Authorization Form:
https://drive.google.com/file/d/1GM6XzBtsQBazTeUgMNtRJq_LVHOh198T/view?usp=drive_web
PRN or As Needed Medication Authorization Form:
https://drive.google.com/file/d/1s8mjAY1wE2_bvkZq3K8e29f8MbpvrdsF/view