Karen Collins, RN
Phone: 417-276-5143 ext 222
Fax: 417.276.5946

It is the goal of Health Services at Stockton R-1 to support healthy learners! In order to do this it is most important that we have great communication between parent, teacher, and health services. If your child has any medical condition please note that on the paper work that is completed annually on enrollment. Also, please make contact with the nurse about any medical condition. Note that medications are to be hand delivered to the nurse by parent or guardian. Please see the student handbook in regards to when children are sent home with illness and when it is suggested that students be kept home for illness.


All students must present documentation of up-to-date immunization status, including month, day, and year of each immunization to the school nurse before attending school. Please refer to the current Missouri School Immunization Requirements to make sure your child is up to date. Fax up to date immunization records to 417-276-5946.


Immunization Religious Exemption





A head and body louse infestation becomes a problem for both home and school. The head and body louse is a slender, gray species about one inch or less long and is found in the hairs of the head or in clothing. The louse sucks the blood of the person and can transmit several diseases. Lice are transmitted when a child wears the clothing of an infested child or shares the wearing of their clothing with an infested child. When an infestation is detected, the child’s parent or guardian will be asked to come to school and take the child home. After being shown what to look for, the parents will be able to examine other family members for evidence of infestation and advised as to how to get rid of the lice.

Please provide a contact number where you or other responsible parties can be contacted at all times. If a parent or guardian cannot come to school to take the child home, the child will be sent home with a note of explanation to the parent/guardian. The note will define the problem, offer methods of disinfestations, request that other family members (including parent(s)/guardian(s)) be examined for head lice and all treated at the same time if found infested. The student cannot return to school until after the proper treatment. Infested children should be treated twice. The interval between treatments should be 7-10 days (or as recommended by the manufacturer). We expect children to be nit-free. This will help prevent further contamination of other children.

Upon returning to school, a student must be accompanied by an adult and the child will be rechecked by school personnel before re-entering class. Recurring problems of this nature will be referred to DFS or the proper authorities to help families. 


The nurse and school personnel must decide when a child should be sent home due to illness. We realize that our decisions will not always match those of the parent due to personal preference. We urge the parent to keep an open mind in these matters. We do not take these matters lightly.

Some common guidelines to use when deciding whether your child should be kept home are:

  • If a rash is present that has not been evaluated by a physician.

  • If your child’s oral temperature exceeds 101.0 or is 1 to 2 degrees above the child’s normal temperature.

  • If the child vomits and continues to experience nausea or vomiting.

  • If your child shows signs of upper respiratory infection (cold symptoms) serious enough to interfere with the child’s ability to learn. (Or a cough that is disrupting the classroom).

  • If there are signs of conjunctivitis (pink eye) with matter coming from one or both eyes, itching, and crusts on the eyelid, the child should be evaluated by a physician.  NOTE: School policy on pink eye is that a student must be on antibiotic drops for 24 hours before returning to school; pink eye is highly contagious.

  • If there is any draining wound or lesion.

  • The district may ask for a doctor’s note on any illness that may be contagious.

  • In the event of a communicable disease outbreak such as chicken pox, measles, mumps, etc., the district will follow advice from the local health department. Students that are not immunized may be asked to stay home from school. These absences will be excused by the school district; however, work will be required to be made up.

The school is equipped with a shower. Under certain circumstances, we may contact you and suggest that the student be allowed to shower at school. This is only done with parent/guardian permission.


We strongly encourage all medication to be given at home. If there is a time when you need to send it TO school, please follow these guidelines: All medications are to be delivered by the parent to the nurse’s office or make arrangements with the nurse to transport medications to school. The nurse is responsible for dispensing these medications, but it is up to the child and teacher to remember the time.

Students are not allowed to have medications on them. Students are not to have over the counter or prescription medications on them. The parent must bring any medicines to the nurse with the prescription from the doctor. Students will be sent to the principal if they are found with any medication on them.

  • Medications that are a scheduled/controlled substance i.e.: pain meds, ADHD meds, and certain cough meds should be hand delivered to the nurse and not sent to school with the child.

  • If your child has a diagnosis of asthma and keeps asthma medication at school, we need an asthma action plan on them. These plans must be updated annually. Please see the school nurse or your physician to get the plan completed. Students are not allowed to carry inhalers on them unless the appropriate paperwork has been completed

  • Please make us aware of all allergies. If your child has been prescribed an EpiPen, the school must be made aware. These plans must be updated annually.

  • Complete medication form provided at the end of the handbook and return to school with the medications.

  • In the event of a diagnosed allergy, the district must have the diagnosis signed by a physician and kept on file with OPAA and the district. Students may have intolerances to a food however school breakfast and lunches will not be altered without a diagnosed allergy. 


Authorization for Medications

Permission to Self-Administer Medication

Asthma Action Plan

Lions Club Eyeglass Assistance Application