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Health & Wellness

a school nurse takes the an elementary student's temperature

Great school communities start with safe and healthy students engaged in joyful learning. We work to ensure that schools and families have the appropriate supports and resources to keep each child healthy and happy. 

Sleep and Exercise

The most prevalent health problems associated with low academic achievement in students is lack of sleep and exercise. Most children need at least nine hours of restful sleep each night. Physical activity has been proven to help children develop social skills, improve mental health, avoid obesity, and inhibit risk-taking behaviors. 

Nurses and Health Assistants

All schools have a health assistant or registered nurse available to address any health issues that may arise with our students and to work with our families so our students are healthy and ready to learn.



Vaccines Required to Attend School in Oklahoma: 2019-20 School Year
(Vacunas Requeridas para Asistir a La Escuela en Oklahoma Año Escolar 2018-19)







DTaP (diphtheria, tetanus, pertussis)

4 DTap

5 DTap

5DaTP* & 1 DTap booster

*If the 4th does of DTap is administered on or after the child’s 4th birthday, then the 5th dose DTap is not required

IPV/OPV (inactivated polio/oral polio)




*If the 3rd dose of IPV/OPV is administered on or after the child’s 4th birthday, then the 4th dose of IPV/OPV is not required.

MMR (measles, mumps, rubella)





HepB (hepatitis B)

3 HepB

3 HepB*

3 HepB*

*Students 11 through 15 years of age who have not previously received any HEP B vaccine may receive a 2 dose series of Merck®Adult Hepatitis B vaccine to satisfy this requirement.  All other children (younger or older) must receive 3 doses of pediatric Hepatitis B vaccine.

HepA (hepatitis A)

2 HepA




Varicella (chickenpox)

1 varicella

1 varicella

1 varicella

2nd dose is recommended at kindergarten entry

Questionnaire- Immunization Contraindications

Where to Get Immunizations

Tulsa City County Health Department provides no cost immunizations for non-insured students or those covered under Sooner Care or medicaid.

Our registered nurses can also give immunizations to qualified students at their school site. During summer enrollment, the Caring Van will be at the TPS Enrollment Center providing free immunizations to students.  Please check back for specific dates. 


Oklahoma law requires evidence of adequate immunizations for each child attending school.  Children with specific medical contraindications to any immunizations may be allowed to attend if the medical reason is signed by a licensed physician and submitted to the school.  Parents may apply for an exemption based on religious or personal beliefs.  Exemption forms can be obtained from the Health & Wellness office, TPS Enrollment Center, Room 230.

Can my child take medication at school?

  1. All medications taken at school, even non-prescription, must be turned in to the school health clinic.
  2. Parents must submit the Authorization for the Administration of Medication by Designated School Personnel form for any medication to be dispensed.
    (Autorización Para Administración De Medicina Por Personal Designado De La Escuela)

Medication Reminders:
  • A parent/guardian must submit a medication authorization form each year for all medications, including inhalers. If there is a prescription change, you must submit a new form.
  • Prescription medications must be clearly labeled with the student’s name, date, instructions for administration and the physician name.
  • Non-prescription medications (over-the-counter) must be in the original container with instructions for administration, and labeled with the student’s name.
  • Students, who are minors, may not transport controlled medications such as Ritalin.
  • For all medications carried by the student, a self-administration form must be completed. The student’s physician or dentist must sign the form.
  • Medications left in the school health clinic after the last official day of classes will be discarded according to district policy.


For questions, or a copy of the medication policy, please contact your school nurse or health assistant.


Should I keep my child home from school?

Your child should stay home from school if they meet any of the following criteria:

  • A fever of 100 degrees or higher (fever must be gone for 24 hours without the use of fever reducing medication before sending back to school)
  • A severe or persistent cough
  • Diarrhea or vomiting (keep home until 24 hours after the last episode)

Nutrition and allergen info

bananas, oranges and apples in the cafeteria

View nutrition and allergen information for meals provided by Tulsa Public Schools.

Hearing and Vision

Parents can request hearing and vision checks for any student.  Teachers may also request to conduct a check with parent permission.  We give referrals for further services when necessary.

Student Classes

We provide informational classes for our students.  Parents are always welcome to view the content of these presentations before we present them to their student.  Parents may request that their student not attend the presentation.  Examples of classes are:

  • Hand washing for kindergarten students
  • Hygiene classes
  • Growth and development for 5th grade
  • HIV information for 5th, 7th, and 10th grades

Additional classes may be provided based upon school request.

About Your School Health Clinic

(Información sobre la clínica de salud de la escuela de su hijo)

Health personnel follow protocols, procedures, and policies developed and/or approved by the director of health services, school board, superintendent or his/her designee. Health assistants and designated staff are supervised, on health related issues, by a registered nurse (RN) and the director of health services.

In order to assist your child with health related needs, you should inform health personnel of:

  • specific needs, limitations, restrictions or areas of concern indicated by the doctor, dentist, licensed healthcare facility, or parent
  • all immunizations, boosters, or restrictions obtained from licensed health care providers
  • changes in eye exams and any restriction limitations or accommodations needed
  • medications (prescription and non-prescription) routinely taken at home or school. For medications taken at school, the appropriate forms must be completed, the medication provided by the parent, guardian, or person responsible for student’s care.
  • absences from school. For your child’s safety, call the school office daily to report absences. If your child is absent three or more days, please all or send a note to the school health clinic before the first class, and
  • a phone number and emergency number where parent, guardian, or person responsible for student’s care can be reached should be on file in the clinic. The health personnel should be immediately notified of changes.

If you have questions or concerns related to your child’s health, contact the school health clinic.

Treatment/Transport for my Child

My Child's Health Conditions

Health Tips for Parents

Health Tips

Health Flyer for Parents printable flyer


When students miss too many days of school, they fall behind and struggle to keep up with their classmates. Whether the days missed is due to illness, truancy or for any other reason, the end result for the student is the same—learning time is lost. Children and adolescents will get sick at times and may need to stay at home, but we want to work with you to help minimize the number of days your student misses school.

Missed Days Add Up Quickly!
  • Just a few missed days a month adds up to several school weeks in a year.
  • Both excused and unexcused absences can make it more difficult for your child to keep up with other students, especially in math and reading.
  • Kindergarten and first grade are critical for your child. Missing school during these early years makes it more difficult for children to learn in later years and they often have trouble reading by the end of third grade.
Work with Your Child and Your School
  • As the parent, be strong with your child and don’t let your child stay home when it is not necessary. This will help your child succeed.
  • If your child has a chronic disease, please provide the school health clinic with medical information. The School Nurse will develop an Individualized Health Plan, based upon medical information.
  • Be sure to provide the clinic with all supplies your child needs for management of their health condition.
  • Keep an open line of communication with school staff and teachers. The more the school knows about your child’s health, the better prepared everyone will be to work together for your child.
Helpful Ideas:
  • Make appointments with the doctor or dentist in the late afternoon so your child misses as little school as possible.
  • If you child must miss school, make sure you get his or her homework assignments and follow up to see if the work is completed and turned in.
  • Call the school as soon as you know your child will be absent and tell school staff why your child will be out and for how long.
  • Be prepared to get a doctor’s note when requested by school personnel.
  • If you need medical advice after business hours, most doctors’ offices have answering services 24 hours a day to assist you.
  • If your child has an emergency, call 911.

Foot Care

General Foot Hygiene
  1. Bathe feet every night with warm water and soap. Rinse well and dry carefully, especially between the toes. Then powder with foot or body powder.
  2. Wear clean socks every day. Alternate pairs of shoes each day, if possible, so that each pair has 24 hours to dry.
  3. Canvas and rubber shoes tend to aggravate athletes foot.
Athletes Foot

If there is a break in the skin or peeling occurs, and you are told you have athletes foot, you should see your doctor, or there are several good medications available in drug stores (e.g., Desenex Foot Powder), that do not need a prescription. Follow instructions as directed.

Usual procedure for treating athletes foot is:
 A.M. Care
  1. Wash feet with soap and water, and dry thoroughly.
  2. Powder the feet, being sure all areas, especially between the toes, are dusted well.
  3. Clean socks.

P.M. Care

  1. Wash feet with soap and water.
  2. Dry thoroughly.
  3. Apply medication to all sore areas.
  4. Powder inside of shoes, tipping from side to side to distribute powder
Plantar Warts

Plantar warts are caused by a virus infection and thus can spread from person to person. This germ is no different than the common warts on fingers. Because of the greater thickness of skin on the sole of the feet, the warts are more painful and also more resistant to treatment. If over-the-counter measures are ineffective, you should consult your doctor regarding treatment. If your child has athletes foot or plantar warts, a gym excuse will be given to him/her excluding the student from swimming or showers until feet are clear. The excuses may be given for one week to 10 days, depending on the severity of the case. When the excuse expires, the student should report to the nurse for a re-check. If the condition is healed, a permit will be given to resume physical education activities. If the condition is still present, a note will be sent to the parent suggesting further treatment.

Bed Bugs

Bed bugs are becoming a common problem, however they are not known to spread disease. The home of any person can be infested by bed bugs, regardless gender, race, or economic status. If a suspected bed bug is found on a student, the following protocol will be followed:

  • The student will not be sent home. The guardian will be notified.
  • The student will be temporarily removed from the classroom. An inspection of clothing and belongings will be done in a confidential and private area.
  • The bug will be sent to a pest management company. If positive identification is made, appropriate remediation action will be taken.

See Bed Bug Protocol


Lice can be found on anyone of any age, race, gender or socioeconomic class. Having head lice is not an indication of insufficient hygiene or poor living conditions. All schools are screened on an as-needed basis.

If lice is identified on a student, non-prescriptive head lice shampoo is available at a low cost through the Health and Wellness office, TPS Enrollment Center, Room 230.

See Head Lice Policy

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Contact Us

Pam Butler
Director of Health & Wellness

Enrollment Center Room 230

TIPS Report Incident

To report a student or school safety concern, please call 918-480-SAFE or use the online reporting system, TIPS. 

*Reports made through TIPS may be made anonymously.

smiling elementary girl spinning a hula hoop

Resources in Tulsa County

Teen Pregnancy Prevention Program

The Tulsa Health Department’s Personal Responsibility Education Program (PREP) educates young adults in responsible and informed decision-making about sexual activity. The goal of the program is to prevent teen births and sexually transmitted infections. PREP works with schools in Tulsa County, especially those that have the highest teen birth rates, in an effort to influence change and increase education. 

For more information about PREP, please call Amy Brice at 918-595-4467.

Child Guidance

Child Guidance provides specialized assistance to families that include young children with challenging behaviors including audiology services, social-emotional skills, sleep issues, and speech-language pathology services.

Charges for services are based on family size and income. SoonerCare and some private insurances are accepted. Clients are not refused services if they are unable to pay. Interpreter services in Spanish are provided. 


The Tulsa Health Department provides age appropriate immunizations according to recommended guidelines for children and adults. Children through age 18 are eligible to receive vaccines at no charge through the Vaccines for Children program if any of the following apply:  they are uninsured, Native American, Native Alaskan, or their insurance policy does not cover vaccines.

Learn more.

Hearing Screening & Services

Child Guidance currently provides audiology services for clients from birth to 21 years old. Charges for services are based on your family size and income. SoonerCare and some private insurances are accepted. You will not be refused services if you are unable to pay. Interpreter services in Spanish are provided. Testing is recommended if your child:

  • Did not pass the newborn hearing screening at the hospital
  • Did not pass school hearing screening
  • Has had multiple ear infections
  • Has not developed speech and language appropriately or has had a regression in speech
  • Has sinus and allergy problems
  • Has a family member with hearing loss
  • Has difficulty paying attention or is often caught daydreaming
  • Has a developmental delay or other medical conditions

For more information or to request an appointment please click here or call 918-595-4066.

Newborn Hearing Screening Follow-up Testing (birth to 5 months): If your baby referred testing in the hospital or has factors that were considered high risk for hearing loss, then it is very important that you have your baby retested.

Hearing Evaluation (6 months to 21 years old): Diagnostic behavioral hearing tests are performed. Parents or physicians who are concerned about their child’s hearing or speech development should schedule an appointment for a hearing test.

Hearing Aid and Related Services (birth to 21 years): We evaluate, select, and program amplification and/or other assistive listening devices. Children diagnosed with a hearing loss should be amplified as soon as possible to prevent regression in learning and speech development.

Hearing screenings are offered at two Tulsa Health Department locations: Central Regional Health Center - 315 South Utica and the North Regional Health and Wellness Center - 5635 North Martin Luther King Jr. Blvd.