Health Services

Healthy children are optimal learners. The District Health Services staff works with students, families, staff and the community to ensure that children's health needs are met so that they can attend school and be healthy and ready to learn. Student services include a variety of supports for students to help eliminate any barriers to learning that a student may encounter over the course of their pre-kindergarten to 12th grade education. These supports are for both students and families and include services provided in collaboration with community agencies.

Forms & Requirements

Frequently Asked Questions

Ways to Prevent the Spread of Viruses


*after using bathroom *before every meal or snack

*after recess and PE *after coughing, sneezing, or blowing nose

*after handling garbage or animals

2. Keep hands to yourself

3. Cough or sneeze in your elbow

4. Use tissue to blow your nose, throw tissue in garbage, wash hands

5. Use a napkin at lunch, not your pants/shirt

6. Avoid touching your nose, eyes, and mouth

7. Use your own supplies when possible

8. Drink plenty of water (OK to carry water bottle when needed)

9. Get some fresh air and daily physical activity!

Too Sick for School

Each day parents are faced with a decision: should they keep their student home or send them ill to school. A student should remain home when he or she:

  • Vomits or has diarrhea within the last 24 hours
  • Has oral temperature higher than 100.0 degrees
  • Coughs almost constantly or complains of difficulty breathing

Keeping a sick student home prevents the spread of illness at school. It allows the student opportunity to rest and recover. A ill student cannot learn effectively and is unable to participate in a meaningful way.


In accordance with the State of Iowa and Howard County Departments of Public Health, Howard-Winneshiek CSD has implemented a plan that will support families by emphasizing prevention, early detection, and education in the management of head lice.

Family involvement is very important in preventing head lice outbreaks and families must actively participate at home in the treatment of head lice. Our goal is to support families and keep students in school.

Students with head lice will not be excluded from school. Treatment is recommended before returning to school.

For more information visit the Iowa Department of Public Health website or the Centers for Disease Control and Prevention website.

Medication Authorization

The parent or guardian or other responsible adult must deliver the medication directly to the nurse or principal. Controlled substances must be counted with the nurse or in her absence, the principal, at the time of delivery.

Medications must be brought into school in an original over-the-counter container or an original pharmacy container labeled with name of student, name of prescribing physician, date of original prescription, name and strength of medication and directions for administering. No more than a 45 school day supply of medication will be kept in school.

Administration of Medication at School

The State of Iowa has definitive regulations regarding administration of medication in schools. If it is necessary for your child to take medication during school hours, these are the steps for you to follow to facilitate the procedure and to meet the State regulations:

The prescribing physician or dentist, licensed to practice in this or any other state, or advance practice registered nurse (APRN) or physician assistant (PA), must submit a written order for each medication. Forms for these orders are available from the school's health office.