Health Services

If a child needs an OTC (Over the Counter) medication to be given during school, the medication has to be provided by the parent and a medication form has to be filled out (see form link below) with a valid order from a healthcare provider..  The OTC medication should be new and unopened/sealed.  Bullard ISD does not supply OTC medications.   If you need a form to be sent home, please reach out to your child’s school and ask that one be sent home.  

In taking the child’s health into consideration and in accordance with the Texas Nursing Practice Act and Board of Nursing rules, if an OTC medication is needed a physician’s or healthcare provider’s order is required (either in the form of a signature on the medication form or other means of a written order) before the administration of medication can recur.   We ask that written notes from a healthcare provider include the medication, dosage, method of administration, time of administration, and for what condition or symptoms if PRN.

Some examples of OTC medications include Tylenol, Ibuprofen, Benadryl, Midol, etc.  Please be aware even topical creams/ointments cannot be given without a form being completed.  

A responsible and trained student is allowed to carry and self-administer medication for asthma, severe allergic (anaphylactic) reaction, or diabetes provided the Authorization for Self-Carry/Administration form is filled out (see form link below). Forms must be completed and signed by your child’s physician verifying capability to carry and self-administer and also signed by parent or guardian and school nurse. Self-carry privileges can be revoked if a student is irresponsible with self-carry and administration.

Antibiotics ordered twice a day should be given at home, with doses spaced as close to 12 hours apart as
possible. Antibiotics ordered three times a day should be given at home in the morning, after school, and at bedtime. School nurses will not administer antibiotics at school.

Medication that requires a dose in the morning (ex. short or long acting ADHD medication, antibiotics, allergy medication) should be given at home by the parent.  Medication to be given before 8:30 am by the school nurse, will ONLY be given if a doctor’s note is provided that explains why the medication should be given at school versus at home before school.

In the case of forgotten medication, extra meds in the original container can be given to the school nurse to keep in case a dose is forgotten. A medication form and healthcare provider’s order will still be required.  If a dose is forgotten, then the parent must reach out to the school nurse and/or the child’s teacher to inform them. This is for the safety of the child.

School nurses do not provide medication. Medication has to be brought by the parent. Children are not permitted to transport controlled substances.  If a child’s medication changes in any way (ex. dosage, time, different meds), a new medication form must be completed and returned to the school nurse. Medicine that is not in the original container (such as a plastic bag) or is expired cannot be administered in school, this is for your child’s safety.  Please make sure that the first dose of any medication (prescription or non-prescription) is given at home first.

Medication has to be picked up by the parent by the end of the school year. If it is not picked up, it will be
disposed of using proper disposal procedures. This includes, but is not limited to Epipens, Benadryl, Tylenol, and inhalers. We do not keep medication stored over the summer.

Action Plans are essential to your child’s safety and management of their chronic conditions. If your child has a chronic health condition and will need medication to be kept and/or administered at school, then an action plan has to be completed and filled out by the child’s healthcare provider and the child’s parents.

 Action Plans have to be done every school year. If possible, please bring completed action plans and medication to the school nurse at Meet the Teacher, before school officially begins.  Please remember it is the parent’s responsibility to complete the action plan and alert the school nurse of any health conditions your child has.  School nurses do not fax action plans to doctors; this should be done by the parents and returned to the school nurse as soon as possible.

Below are blank action plans that can be completed by a healthcare provider.  Please note that some clinics use their own specific action plans and these are acceptable.  The only exception is the seizure action plan – the required seizure action plan is available below.

Allergy Action Plan

Asthma Action Plan

Seizure Action Plan

Insect Sting/Bite Action Plan

According to Texas law, all immunizations must be completed by the first date of attendance and the law requires that students be fully vaccinated against the specified diseases.  Exemptions and provisional enrollment are allowed (see below).  

Vaccination records must meet the requirements set by The Department of State Health Services (DSHS). Any document will be acceptable provided a physician or public health personnel has validated it (signature or stamp of the physician/physician’s designee or public health personnel).  

If vaccinations are not completed, your child can be excluded from school.  Unless a medical exemption states a lifelong condition, the exemption is only valid for one year.  If your child has an affidavit of exemption for reasons of conscience, we must have the original affidavit, and it has to be renewed every two years.  

A child may be enrolled provisionally if at least one dose of each specified age-appropriate vaccine has been received and the series is completed on schedule and as rapidly as is medically feasible.  Additional guidelines for provisional enrollment apply to transfers, dependents of active duty military, students in foster care, and students who are homeless.

Latest Texas Minimum Vaccine Requirement 

Exemption Information - School Immunizations

Bacterial Meningitis Information

Please understand that we see MANY students on a daily basis. If we were to call each parent about every
bruise, scratch, etc. then we would never be able to appropriately assess/care for your children! Calls to
parents are reserved for ill students that need to be picked up or urgent/emergency situations. Thank you!