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A Guide to the Nurse's Office

Medication, Illness, and Immunization Rules at a Glance


  1. A parent’s signature is required for all medications (prescription and non-prescription/over the counter) which are needed at school. For prescription medications taken longer than 10 school days, a physician’s signature is required as well.  All medication authorizations should be renewed yearly.
  2. Medication authorization forms are located on each campus in the nurse’s office and on our website at:
  3. All medications are to be brought into school by an adult and in its original container or prescription bottle. For prescription medications please request your pharmacist to separate the prescriptions into two bottles, one for school and one for home.
  4. Students are NOT allowed to have medications in their possession on school grounds unless prior authorization was made with your campus nurse or principal. If your child has an asthma inhaler or an Epi-pen please see your campus nurse to discuss your child’s health plan.
  5. It is important that the school nurse be aware of your child’s medical needs/conditions. For your child’s safety, please make sure you discuss these with your child’s school nurse.


Students are required by the Texas Department of State Health Services to be up to date in their childhood immunizations. No student will be allowed to enter school until these requirements are met. For new students to Comal ISD, you will be required to show proof of these immunizations. For returning students please be aware that a notice will go home with your student when immunizations are due. Please be prompt in complying with immunization request. For a list of immunizations required by grade, go to the following web site: OR see your campus school nurse.


  1. Students with fever of 100.0 or higher will be sent home from school in order to prevent the spread of illnesses to other students as mandated by the Texas State Health Services. Please be aware that your child must be fever free for 24 hours, without fever reducing medications, such as Acetaminophen and Ibuprofen, before returning to school.
  2. Students who are ill with vomiting or diarrhea should stay home from school and return only when these symptoms have resolved without medications for 24 hours.
  3. If your child is not feeling well and is too sick to participate in the classroom, please keep them home until they are well enough to learn. A Physician’s note is required if your student is out for 3 days or more due to illness, for less than 3 days a parent note should be presented upon their return.


It is critical that we have each student’s parent/guardian’s updated phone numbers. Please contact the school immediately with phone number changes.