Caring for your student at ASD

Summarized below are some of the guidelines of the Health Service Program relating to the health and well-being of students. Please feel free to drop by and meet your school nurse. 


Illness or Injury

A student who appears ill should remain at home or be sent home when becoming ill at school. Before students are excused from school for illness, injury or any other reasons, parents/guardians or authorized emergency contact persons are notified. Accidental injuries at school are given first aid by the school nurse, or in his/her absence, by a trained staff member. Parents will be informed and advised if further medical care is needed.


In a major life-threatening emergency, or when it is unsafe for a parent to transport a child for further treatment, the paramedics will be called. Any child displaying signs or symptoms of an untreated communicable disease are generally recognized as contagious and will be excluded from school until signs and symptoms abate. The student may return to school by request of the student's physician, Municipal Health Department or the Alaska Division of Public Health, Section of Epidemiology.


Parents are encouraged to contact their school nurse and review their child's special health concerns with the nurse.



Alaska state law requires all school children to be immunized in order to enroll in school. ASD follows the state’s strict requirement of “No Shots, No School” and requires proof of immunization at enrollment. By law, a student is not allowed to attend classes unless they are compliant with immunizations. The exceptions to this are a medical or religious exemption; a 30 day waiver for those who are in the Child in Transition/Homeless program; or a 30 day waiver for active duty military dependents who have just been relocated to Anchorage. (Military and Homeless waivers required by federal law).


If there are medical or religious reasons a child cannot be vaccinated, call the school nurse for further information. For more information on immunizations see the Health Services' immunization section.


Medication Administration During School Hours

Prescription medicine may be administered at school when prescribed by a licensed healthcare provider with prescriptive authority in the State of Alaska, and provided in a container labeled by the pharmacy or the legal prescriber. The State of Alaska grants prescriptive authority to physicians (MD and DO), physician assistants (PA), advanced nurse practitioners (ANP, FNP, PNP) and dentists. The proper forms must be completed for administering all medications at school. Health Services Forms are only applicable for the current school year in most circumstances.


Parents are responsible for providing all medications to the school nurse in original containers accompanied by the appropriate form. The school nurse is responsible for reviewing all medication requests including those for a field trip or overnight student school travel.


Outdoor Recess

Students who are well enough to attend school are well enough to play outside unless the school receives a note from their medical provider. Students in the ASD play outside until temperatures are 10 degrees below zero Fahrenheit. Appropriate attire is necessary to prevent frost bite.


Phone Numbers and Updates on Medical Status

It is important that the school has current home, work, and emergency phone numbers and is current regarding changes in health status. This is especially critical during an emergency situation.

School Physicals

Current physical examination (completed within the past 12 months), by a health care provider (MD/DO/ANP/PA) is required within 90 days of enrollment for all new students Pre-K to 12th grade entering the Anchorage School District. If a current physical is not provided, the school nurse shall complete a health screening for all new-to-district students and record in the electronic Student Health Record per Alaska Statute AS 14.30.070. 

Well-Child Checkups Link

Physical Examination for School Entry – English Version
Hmong | Korean | Samoan | Spanish | Tagalog



During the course of the school year, the school nurse will be checking height, weight, vision+, hearing, and color vision. The extent of the routine screening depends on the grade. However, any time a teacher or parent has a concern, the school nurse will follow up with the appropriate test and notify the parents if further evaluation is warranted.

Growth - AK State Recommendations

Hearing - AK State Recommendations

Vision - AK State Recommendations


Special Needs or Treatments

If your child requires special nursing care during the school day, please contact your school nurse. Schools nurse are trained to manage most medical situations. Depending on the circumstances, physician orders and special equipment may be required.   

Special Nursing Services/Treatments (i.e. Gastrostomy feeding, catheterization, nebulizer, oxygen, etc.)

Parent/Guardian Request for Special Nursing Service
For parents to request special nursing care service for their child and procedure is necessary for child to attend school and cannot be provided before or after school hours.


Physician’s Authorization Special Nursing Services
Required form for parents requesting special nursing care or treatments for their child (physician to complete)


Starting the Day

Parents are encouraged to start the student's day with breakfast and an encouraging word. Those nutrients enable the brain to be ready to learn and a positive comment from an important person sets a receptive learning environment.


Tuberculin Skin Testing

Tuberculosis (TB) risk assessment shall be conducted on ALL New-to- District Preschool through 12th grade (students who have attended then left ASD and returned less than 2 years later are NOT new to district). ANY YES Answers on TB risk assessment mean student is at risk for TB and Alaska State law requires PPD (purified protein derivative) tuberculin skin testing (TST) or Interferon Gamma Release Assay (IGRA) blood test for all students of any age who are new to our school district with positive TB risk assessment. A consent form needs to be signed by parent or guardian at the time of registration. Documentation for a TB test from a healthcare provider will be accepted if it is within six months. We DO NOT accept a chest x-ray INSTEAD of a ppd. AFTER a ppd, a chest x-ray may be required if positive.

TB Risk Assessment form

More »

Anchorage School District website accessibility and nondiscrimination notice. The Anchorage School District is an equal opportunity provider.