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Highline Public Schools
15675 Ambaum Blvd. SW Burien,WA 98166

Office Hours:

Monday-Friday: 7:30 a.m. - 4:30 p.m.

Health Concerns

Health History

A student Health History Form is completed by parent/guardian and given to the School Nurse for review. The information provided is used to assist the School Nurse in providing appropriate health services to students during the school day and to prepare staff for any emergency situations that may arise.

Health History Form English

Health History Form Spanish

Life-Threatening Conditions

Students with life-threatening health conditions require medication or treatment orders in order to attend public schools. The law defines life-threatening condition as a health condition that will put the child in danger of death during the school day, if a medication or treatment orders and a nursing care plan are not in place. Examples of a life-threatening condition are: Seizure disorders, Anaphylaxis, Diabetes, Asthma, Blood disorders, Cardiac disorders, or other life threatening conditions.

RCW 28A.210.320

Medications

State law requires written permission from a licensed health care provider and the parent/guardian before any medication, prescription or over-the-counter medication may be taken at school. If your child needs to take medication at school, please return a completed medication authorization form. 

Medication Authorization Form

Diabetes

Diabetic Order Form

Insulin Pump Order Form

Diabetic Accommodation Form (504)

Lice

Lice are tiny insects that live on the scalp and crawl through hair. Lice need human blood to live, and they die within 24 hours if they cannot feed. Lice lay eggs (nits) that cling to the hair close to the scalp. Nits are oval shaped and most often can be seen in the hair and behind the ears or neck. Lice hatch from nits after about 6 days and can lay more eggs after 10 days. Head lice are not a sign of uncleanliness, and they do not spread disease. The most common symptom of lice is itching the scalp.  

Head Lice Parent Resource

Policy 3414: Infectious Diseases

Policy 3414P: Head Lice Procedure 

Other Health Forms

Health Concern Verification Form

Mututal Exchange of Confidential Medical Information Form