School Health Services
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Supporting the health and well-being of our students helps create a safe and positive learning environment for everyone. This section provides information about the health services available in our schools, including the role of school nurses, health requirements, and helpful resources for families. Our goal is to work together to promote healthy habits, manage health needs during the school day, and support student success.

- Administration of Medication at School
- Allergies
- Concussion Policy
- Cumulative Health Record
- Dental Information
- Hand, Foot, and Mouth Disease
- Health Office Contact Information
- Lice Information
- NYS Immunization Requirements
- Physical Health Appraisal
- Respiratory Illness
- Screening Information
- When Should My Child Stay Home From School?
Administration of Medication at School
Medications
Please do not send medications of any kind to school with your child. No medications (including over-the-counter items like Tylenol, Motrin, vaseline, lotion, chapstick, anti-itch creams, and cough drops) may be given during school hours, unless you comply with the following regulations of the New York State Law:
- A written order from the health care provider, indicating the name, frequency, and dosage of the medication.
- Written permission from the parents, allowing the school nurse to administer the medication.
- A supply of prescription medication properly labeled in its original container from the pharmacist, or over-the-counter medication in its original packaging labeled with the child's name, must be brought to the health office by an adult. Do not send medication with a child.
Medication Forms
Allergies
Allergy Regulations
For students with diagnosed allergies, we require the following documentation:
- Emergency Care Plan from health care provider
- Medication Order from health care provider (signed by parent/guardian)
If a student has outgrown an allergy, the district requires documentation from the health care provider in order to remove any accommodations or restrictions that were in place due to the allergy.
For further information regarding the district's policy on allergies, please visit:
Policy 7521 Students with Life Threatening Health Conditions
Emergency Care Plan
Concussion Policy
The Concussion Management and Awareness Act
The Concussion Management and Awareness Act went into effect on July 1, 2012 for all public schools and charter schools. Several items are required for school districts to be in compliance with the law. Some of the items are specifically spelled out in the law and others have been recommended by the State Education Department and Department of Health and approved by the State Board of Regents.
Orchard Park Central believes in the importance of effective concussion prevention and post-concussion management. All coaches, physical education teachers, and school nurses will complete a concussion prevention certification biannually.
When can my son/daughter return to regular activity?
- Once the Athlete is asymptomatic for 24 hours (and no longer using medication prescribed by a healthcare provider to manage signs and symptoms), and has medical clearance from a licensed healthcare provider.
- This documentation should include any modifications or restrictions to physical or academic activities.
The return to cognitive activities protocol is as follows:
Healthcare provider orders will be followed when available. If they are not available, the district medical director approves the following protocol. The protocol will be followed following a brief (24-48) period of rest. Each step will last at least 24 hours, with a return to the previous activity step if the student experiences an exacerbation:
- Phase 1: Daily activities that do not result in more than a mild exacerbation* of symptoms related to the current concussion
- Example: Typical activities during the day (e.g. reading) while minimizing screen time.
- Start with 5–15 min at a time and increase gradually
- Phase 2: School activities
- Example: Homework, reading, or other cognitive activities outside of the classroom.
- Phase 3: Return to school part-time
- Gradual introduction of schoolwork. May need to start with a partial school day or with greater access to rest breaks during the day.
- Phase 4: Return to school full-time
- Gradually progress in school activities until a full day can be tolerated without more than mild* symptom exacerbation.
When can my son/daughter return to sports?
- Once the Athlete is asymptomatic for 24 hours (and no longer using medication prescribed by a physician to manage signs and symptoms) and has medical clearance from a licensed physician. PAs and NPs are not able to diagnose or provide clearance for athletic activities.
- Must complete return to play protocol with certified athletic trainer working with OPCSD.
- The return to play progression should be over 7-10 days, with a minimum of 7 days. The athlete must remain asymptomatic to progress to the next phase. In the event that symptoms return the athlete must stop activity and return to previous level 24 hours later if asymptomatic.
- Upon completing the return to play protocol the student-athlete must be cleared by the school medical director.
The return to play protocol is as follows:
- Phase 1: Light aerobic exercise- walking, swimming or stationary bike without resistance
- Phase 2: Higher impact, higher exertion, moderate aerobic activity. No resistance training.
- Phase 3: Sport specific non-contact activity. Low resistance weight training with a spotter.
- Phase 4: Sport specific activity, non-contact drills. Higher resistance weight training with a spotter
- Phase 5: Full contact practice and intense aerobic activity.
- Phase 6: Return to play- full activities without restrictions.
Please find links and documents below for more information on what you can do to protect yourself and your child(ren).
Related Links
OPCSD Policy 7522 Concussion Management
Click on the LINK above to access the District's Policy (7522) on Concussion Management.
Cumulative Health Record
Cumulative Health Record
A confidential health record is maintained on each child indicating his/her medical history and immunization dates. All findings from screening procedures are required on the student’s health record. Please help us keep the record up to date by notifying the Health Office if there is any change in your child’s health status, recent immunizations, surgery, etc.. This record is transferred onto each school your child will be attending.
Dental Information
Dental Health Screening
NYS law (Chapter 281) permits schools to request an oral health assessment in the following grades: all new students entering school, K, 1, 3, 5, 7, & 11. This sample dental assessment may be completed by a registered dentist or NYS registered dental hygienist. Click here to access the Dental Health Certificate.
Dental Health Certificate
Hand, Foot, and Mouth Disease
Hand, Foot, and Mouth Disease
Hand, foot, and mouth disease is common in children under 5 years old, but anyone can get it.
The illness is usually not serious, but it is very contagious. It can spread quickly at schools and day care centers.
Symptoms of hand, foot, and mouth disease (HFMD) usually include fever and flu-like symptoms, mouth sores, and skin rash. The rash is commonly found on the hands and feet. Most children have mild symptoms for 7 to 10 days.
Our newest protocol requires that someone with a positive case remain out of school/ work until they are fever-free for >24 hours without the use of medication and when the rash/ sores have scabbed over.
What can you do to help prevent the spread of hand, foot, and mouth disease?
1.) Always wash your hands:
- After changing diapers.
- After using the toilet.
- After blowing your nose, coughing, or sneezing.
- Before and after caring for someone who is sick.
Help children wash their hands. Teach them how to wash their hands and make sure they wash them often. Help them keep blisters clean and avoid touching them. Avoid touching your eyes, nose and mouth, especially with unwashed hands.
2.) Avoid touching someone who has HFMD, such as hugging or kissing them.
Can my child return to school if they are sick?
Because HFMD is normally mild, children can continue to go to child care and schools as long as they:
- Have no fever.
- Have no uncontrolled drooling with mouth sores.
- Feel well enough to participate in classroom activities
- Have only sores/ lesions that are not open and weeping
Talk with your child’s healthcare provider if you are still not sure when it is okay for them to return. In some cases, the local health department may require children with HFMD to stay home to control an outbreak.
Health Office Contact Information
What is the role of our school nurses?
Our school nurses are licensed registered nurses who play a vital role in keeping students healthy, safe, and ready to learn. They provide expert care for illnesses and injuries, manage chronic health conditions like asthma and diabetes, and administer medications according to medical and legal guidelines. School nurses also conduct health screenings, monitor immunizations, and respond to emergencies, ensuring swift and appropriate care when it’s needed most. Beyond the nurse’s office, they promote wellness, contribute to student support plans, and collaborate with families and staff to meet each student’s unique needs. Their work helps create a healthier school environment where all students can thrive.
High School Health Office
Middle School Health Office
Mrs. Karen Niewczyk, RN
Phone: 716-209-6261
Fax: 716-209-6413
Email: kniewczyk@opschools.org
Eggert Elementary Health Office
Ellicott Elementary Health Office
Phone: 716-209-6276
Fax: 716-209-6203
Email: modrzywolski@opschools.org
South Davis Elementary Health Office
Windom Elementary Health Office
Mrs. Sarah Johnson, RN
Phone: 716-209-6322
Fax: 716-209-6490
Email: sjohnson@opschools.org
What Does the District Medical Director Do?
Kelsey Habermehl, MS, FNP-C, CLC, serves as the Orchard Park Central School District's Medical Director, providing expert guidance on all aspects of student and staff health. In this role, she leads the development of health policies, supports school nurses, conducts required student physicals, and helps coordinate our district's response to public health needs. Mrs. Habermehl works closely with families, educators, and administrators to ensure every student receives safe, inclusive, and medically appropriate care. Her leadership helps us create consistent, evidence-based practices across all schools. As a trusted health advisor, she plays a key role in keeping our school community healthy, informed, and ready to learn.

Orchard Park Central School District Medical Director
Lice Information
What You Can Do About Lice
Community Awareness
What can you do?
1. We ask that you to check your child’s head, nape of the neck, and behind the ears for signs of nits (lice eggs) on a weekly basis. Do the same for siblings and anyone else in the house. See your health care provider to confirm any suspicions you may have about what you find.
2. Immediately report any confirmed diagnosis found at home to your school nurse.
3. You could choose to use a louse killing shampoo or crème rinse (containing pediculicide). Consult with your pharmacist or physician to choose the product right for each member of the family. Check the packages for any restrictions.
4. Remind your children NOT to share personal items such as hats, combs, brushes with one another.
NYS Immunization Requirements
Physical Health Appraisal
Physical Information
New York Education Law, effective July 1, 2018, requires a complete physical exam for all students entering grades Pre-K, K, 1, 3, 5, 7, 9, and 11. We ask that you schedule an appointment with your child's health care provider if they will be in one of those grades in September.
Health appraisal forms should be forwarded or faxed to the school nurse within 14 days of the child's first day of school and must be completed by a New York State licensed health care provider. Please contact your child's school nurse with questions.
If the parent/guardian has not furnished a Health Appraisal to the school within the first 30 days of attendance, school officials must provide a written notification to the parent/guardian that if the parent/guardian does not provide the school with a Health Appraisal within 30 days from the date of the notice, that the school will conduct a health examination of their child at school by the district medical director pursuant to Education Law §903(3)(a) and Commissioner’s regulation §136.3 (c)(1)(iii).
Respiratory Illness
Respiratory Illness
The CDC recommends:
Staying home and away from others (including people you live with who are not sick) if you have respiratory virus symptoms that aren't better explained by another cause. These symptoms can include fever, chills, fatigue, cough, runny nose, and headache, among others.
- You can go back to your normal activities when, for at least 24 hours, both are true:
- Your symptoms are getting better overall, and
- You have not had a fever (and are not using fever-reducing medication).
- When you go back to your normal activities, take added precaution over the next 5 days, such as taking additional steps for cleaner air, hygiene, masks, physical distancing, and/or testing when you will be around other people indoors. This is especially important to protect people with factors that increase their risk of severe illness from respiratory viruses.
Screening Information
Per the screening requirements outlined in NYS Code, Rule, and Regulation 8 CRR-NY 136.3 students are screened as follows
- Scoliosis Screening will occur for students in grades 5 and 7 for female students and Grade 9 for male students.
- Distance Acuity and Near Vision Screening will occur for all new entrants and students in grades Pre-K, K, 1, 3, 5, 7 and 11.
- Hearing Screening(pure tone)will occur for all new entrants and students in grades Pre-K, K, 1, 3, 5, 7 and 11.
Following all screening procedures which include scoliosis, vision, hearing, and color perception testing and physical examinations, parents are notified by phone or letter of any problems detected and are counseled regarding medical follow-up.
When Should My Child Stay Home From School?
When is my child sick enough to stay home from school?
You should never send your child to school if he/she has:
- Had a fever (100.4 or higher) in the past 24 hours
- Vomited in the past 24 hours
- Had diarrhea in the past 24 hours
- Chills
- Pink eye (must have been on antibiotic eye drops for 24 hours before returning to school)
- A bad cold, with a very runny nose or bad cough, especially if it has kept the child awake at night
Preventing Seasonal Flu- tips from the CDC:
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Cover your nose and mouth with a tissue when you cough or sneeze
-
Wash your hands often with soap and water when you sneeze or cough
- Try to avoid close contact with sick people
- Avoid touching your eyes, nose, and mouth. Germs spread this way.
- Flu is a contagious disease- Take time to use precautions to protect yourself and your family
Flu-like Symptoms include:
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Fever (Usually High)
-
Extreme tiredness
- Muscle aches
- A dry cough
- A sore throat
- Runny or stuffy nose
