Skip Navigation

Health and Wellness


All parents are asked each year to complete a medical care authorization form, providing written parental consent to obtain emergency treatment and information about allergies to medications or drugs. Parents should contact the school nurse to update emergency care information (name of doctor, emergency phone numbers, allergies, etc.). The district may consent to medical treatment, which includes dental treatment, if necessary, for a student if: the district has received written authorization from a person having the right to consent; that person cannot be contacted; and that person has not given the district actual notice to the contrary. The emergency care authorization form will be used by the district when a student’s parent or authorized designee is unable to be contacted. A student may provide consent if authorized by law or court order. Regardless of parental authorization for the district to consent to medical treatment, district employees will contact emergency medical services to provide emergency care when required by law or when deemed necessary, such as to avoid a life-threatening situation.

Health and Safety.pdf

  • Health screenings are recommended prior to any individual entering a school building or school vehicle. Employees are required to perform a self-screening prior to work that includes taking their own temperature. Parents/Guardians are required to perform a screening prior to sending their child to school each day. If any individual has been diagnosed with a contagious disease, shows symptoms of: feeling feverish or a measured temperature greater than or equal to 100.4 degrees Fahrenheit; loss of taste or smell; cough; difficulty breathing; shortness of breath; chills; shaking or exaggerated shivering; significant muscle pain or ache; vomiting or diarrhea. If a student is sick or does not feel well with any of the following symptoms (or combination of symptoms) please contact the school to let them know your child will be absent. 

    Furthermore, if your child exhibits any of these symptoms or combination of these symptoms, while at school, they may be sent home until symptom-free for 24 hours. If it is determined that a student needs to be sent home from school, the nurse will contact the parent. The district is required to report certain contagious (communicable) diseases or illnesses to the Department of State Health Services (DSHS) or our local/regional health authority. The school nurse can provide information from DSHS on these notifiable conditions. The school nurse is available to answer any questions for parents who are concerned about whether or not their child should stay home.

    School-based spinal screening helps identify adolescents with abnormal spinal curvature at an early stage, when the curve is mild and may go unnoticed. Early detection is key to controlling spinal deformities. Spinal screening is non-invasive and conducted in accordance with the most recent, nationally accepted and peer-reviewed standards.All students who meet the Texas Department of State Health Services criteria will be screened for abnormal spinal curvature before the end of the school year. As appropriate, students will be referred for follow-up with their physician. For information on spinal screening by an outside professional or exemption from spinal screening based on religious beliefs, see district policy FFAA(LEGAL).

  • Accident Insurance is provided to cover all students during the school day and while participating in extracurricular activities.  The insurance is supplemental and will pay benefits after the student’s primary insurance has been used.  Additional low-cost accident insurance may be purchased annually by the parent/guardian.

    HSR Voluntary Enrollment Brochure ENG.pdf

    HSR Voluntary Enrollment Brochure Spanish.pdf

  • If a student must take medication during school hours, the student’s parent must provide the medication. Only designated employees may administer prescription medication, nonprescription medication, and herbal or dietary supplements to students. All medication, whether prescription or nonprescription, must be kept in the nurse’s office and be administered by the nurse or another authorized district employee. Exceptions apply to the self-administration of asthma medication, medication for anaphylaxis (e.g., EpiPen), and medication for diabetes management, if the medication is self-administered in accordance with district policy and procedures. The district will not purchase nonprescription medication to give to a student. A student who must take any other medication during the school day must bring a written request from his or her parent and the medicine in its original, properly labeled container; prescription medication from a properly labeled unit dosage container filled by a registered nurse or another qualified district employee from the original, properly labeled container; nonprescription medication in the original, properly labeled container, provided by the parent along with a written request, insect repellant is considered a nonprescription medication; or herbal or dietary supplements provided by the parent only if required by the student’s individualized education program (IEP) or Section 504 plan for a student with disabilities. The parent or guardian must bring the medication to the nurse. The medication will not be accepted from the student. At the end of the school year, it is the parent or guardians responsibility to pick up the student’s medication. The medication will not be released with the student. Failure to collect your student’s medication at the end of the school year will result in the nurse safely disposing of the medication.  Contact the principal or school nurse for information on procedures that must be followed when administering medication to students. Students whose schedules provide for regular time spent outdoors, including for recess and physical education classes, should apply sunscreen before coming to school. At the elementary level, a student’s teacher or other district personnel will apply sunscreen to the student’s exposed skin if the student brings the sunscreen to school and asks for help applying it. A student at this level may apply his or her own sunscreen if the student is able to do so. At the secondary level, a student may possess and apply sunscreen when necessary. If the student needs assistance with sunscreen application, please address the need with the school nurse. Whether a student is at the elementary or secondary level, if sunscreen needs to be administered to treat any type of medical condition, this should be handled through communication with the school nurse so that the district is made aware of any safety and medical issues.
  • A psychotropic drug is a substance used in the diagnosis, treatment, or prevention of a disease or as a component of a medication. It is intended to have an altering effect on perception, emotion, or behavior and is commonly described as a mood- or behavior-altering substance.

    District employees are prohibited by state law from doing the following:

    • Recommending that a student use a psychotropic drug

    • Suggesting a particular diagnosis

    • Excluding from class or school-related activity a student whose parent refuses to consent to a psychiatric evaluation or to authorize the administration of a psycho¬≠tropic drug to a student
  • A student must be fully immunized against certain diseases or must present a certificate or statement that, for medical reasons or reasons of conscience, including a religious belief, the student will not be immunized. For exemptions based on reasons of conscience, only official forms issued by the Texas Department of State Health Services (DSHS), Immunization Branch, can be honored by the district. This form may be obtained online at Affidavit Request for Exemption from Immunization or by writing the DSHS Immunization Branch (MC 1946), P.O. Box 149347, Austin, Texas 78714-9347. The form must be notarized and submitted to the principal or school nurse within 90 days of notarization. Only the original copy will be accepted. If the parent is seeking an exemption for more than one student in the family, a separate form must be provided for each student. 

    The immunizations required for Kindergarten through 12th grade are: Diphtheria, tetanus, and pertussis; Polio; Measles, mumps, and rubella; Hepatitis B; Varicella (chicken pox); Meningococcal; Hepatitis A. 

    Immunization Minimum Requirements

    The immunizations required for Early Headstart, Headstart and daycare are: Diphtheria, tetanus, and pertussis; Polio; Measles, mumps, and rubella; Hepatitis B; Varicella (chicken pox); Meningococcal; Hepatitis A; Haemophilus Influenzae Type B; Pneumococcal Conjugate. 

    Childcare Immunization Minimum Requirements

    The school nurse can provide information on immunization requirements. Proof of immunization may be established by personal records from a licensed physician or public health clinic with a signature or rubber-stamp validation. The nurse will review immunization records and notify the parent or guardian of missing vaccinations. The student must be up to date on the required vaccines. Failure to do so could result in unenrollment from SISD. If a student should not be immunized for medical reasons, the student or parent must present a certificate signed by a U.S. registered and licensed physician stating that, in the doctor’s opinion, the immunization required is medically contraindicated or poses a significant risk to the health and well-being of the student or a member of the student’s family or household. This certificate must be renewed yearly unless the physician specifies a lifelong condition.

    Entering college students must also, with limited exception, furnish evidence of having received a bacterial meningitis vaccination within the five years prior to enrolling in and attending classes at an institution of higher education. A student wanting to enroll in a dual credit course taken off campus may be subject to this or other vaccination requirements. For more information see the DSHS website: Texas School & Child Care Facility Immunization Requirements.

    The Sweetwater - Nolan County Health Department provides immunizations and flu vaccines. The department can be found at 301 E. 12th Street in Sweetwater, Texas 79556. Their phone number is: 325-235-5463. 

    Sweetwater-Nolan County Health Department Website

    Texas Department of State Health Services

    Updated bacterial meningitis information requirements

  • If a student or employee has a lab confirmed positive test for COVID-19, that individual will be required to quarantine for 5 days from the onset of symptoms. Upon completion of the 5 day quarantine, the student or employee may return to campus if the individual is fever free for 24 hours without any fever reducing medication and has overall symptom improvement.  If a student wishes to return prior to 5 days, the individual must submit proof of a negative COVID-19 test and must be fever free for 24 hours without fever reducing medication and overall symptom improvement. 


    If the COVID-19 test is pending, the student or staff member may not return to campus until final results are received.


    All employees that are lab test confirmed positive for COVID-19 must contact Kimberly Dean, SISD Coordinator of Health Services, at

    If an individual on a campus has a lab test confirmed positive for COVID-19 a notification will be updated daily on the Sweetwater ISD district website. Rolling Plains Memorial Hospital and the Sweetwater Nolan County Health Department will be providing COVID-19 vaccines for individuals ages 6 months through 18 years old.

  • Head lice is very common among children. Although not an illness or a disease, it spreads easily through head-to-head contact during play, sports, nap time, and when children share things like brushes, combs, hats, and headphones. The district does not require or recommend that students be removed from school because of lice or nits. If careful observation indicates that a student has head lice, the school nurse will contact the student’s parent to discuss a treatment plan using an FDA-approved medicated shampoo or cream rinse that may be purchased from any drug or grocery store. After the student undergoes one treatment, the parent should contact the school nurse to discuss the treatment used. The nurse can also offer additional recommendations, including subsequent treatments, how best to get rid of lice, and how to prevent lice from returning. The district will provide notice to parents of elementary school students in an affected classroom without identifying the student with lice. More information on head lice can be obtained from the DSHS website Managing Head Lice in School Settings and at Home.
  • A student with asthma or severe allergic reaction (anaphylaxis) may possess and use prescribed asthma or anaphylaxis medication at school or school-related events only if he or she has written authorization from his or her parent and a physician or other licensed health-care provider. The student must also demonstrate to his or her health-care provider and the school nurse the ability to use the prescribed medication, including any device required to administer the medication. If the student has been prescribed asthma or anaphylaxis medication for use during the school day, the student and parents should discuss this with the school nurse or principal.
  • To address the care of a student with a seizure disorder while at school or participating in a school activity, a parent may submit a seizure management and treatment plan to the district before the beginning of the school year, upon enrollment of the student, or as soon as practicable following diagnosis of a seizure disorder.
  • In accordance with a student’s individual health plan for management of diabetes, a student with diabetes will be permitted to possess and use monitoring and treatment supplies and equipment. All diabetic medication must be brought to the nurse by a parent or guardian. The nurse will inform you what documentation is needed by your student’s doctor. In addition to a nurse at each campus, SISD also has UDCA (Unlicensed Diabetic Care Assistant) personnel at each campus who can assist a student with diabetes. UDCA personnel are trained to monitor blood glucose, administer medications and know what steps to take during an emergency such as hypoglycemia or hyperglycemia.

    In case of a hypoglycemic emergency, it is highly encouraged that your student with diabetes has emergency medication, such as Glucagon, available. For students in the primary grades, emergency medications should be kept in the nurse’s office. For middle school and high school students, written authorization is required from his or her parent/guardian and physician to self-carry emergency medication. Please notify the school nurse that the student is in possession of this medication and provide the documentation from the student’s physician. SISD urges your student to keep the medication in the same spot at all times while carrying it on his or her person. If the student is in after school extracurricular activities, it is vital the student keeps the emergency medication nearby and that coaching staff is aware of the emergency medication location.

  • Always put infants to sleep on their backs unless you provide an Infant Sleep Exception form 2710 signed by the infant's health care professional [§746.2427 and §747.2327]. Place infants on a firm mattress, with a tight fitting sheet, in a crib that meets the CPSC federal requirements for full size cribs and for non-full size cribs [§746.2409 and §747.2309]. For infants who are younger than 12 months of age, cribs should be bare except for a tight fitting sheet and a mattress cover or protector. Items that should not be placed in a crib include: soft or loose bedding, such as blankets, quilts, or comforters; pillows; stuffed toys/animals; soft objects; bumper pads; liners; or sleep positioning devices [§746.2415 and §747.2315]. Also, infants must not have their heads, faces, or cribs covered at any time by items such as blankets, linens, or clothing [§746.2429 and §747.2329]. Do not use sleep positioning devices, such as wedges or infant positioners. The AAP has found no evidence that these devices are safe. Their use may increase the risk of suffocation [§746.2415 and §747.2315]. Ensure that sleeping areas are ventilated and at a temperature that is comfortable for a lightly clothed adult [§746.3407(10) and §747.3203(10)]. If an infant needs extra warmth, use sleep clothing(insert type of sleep clothing that will be used, such as sleepers or footed pajamas) as an alternative to blankets [§746.2415 and §747.2315]. Place only one infant in a crib to sleep [§746.2405 and §747.2305]. Infants may use a pacifier during sleep. But the pacifier must not be attached to a stuffed animal or the infant’s clothing by a string, cord, or other attaching mechanism that might be a suffocation or strangulation risk [§746.2415 and §747.2315]. If the infant falls asleep in a restrictive device other than a crib (such as a bouncy chair or swing, or arrives to care asleep in a car seat), move the infant to a crib immediately, unless you provide an Infant Sleep Exception form 2710 signed by the infant's health care professional [§746.2426 and §747.2326]. Our child care program is smoke-free. Smoking is not allowed in Texas child care operations (this includes e-cigarettes and any type of vaporizers) [§746.3703(d) and §747.3503(d)]. Actively observe sleeping infants by sight and sound [§746.2403 and §747.2303]. If an infant is able to roll back and forth from front to back, place the infant on the infant's back for sleep and allow the infant to assume a preferred sleep position [§746.2427 and §747.2327]. Awake infants will have supervised “tummy time” several times daily. This will help them strengthen their muscles and develop normally [§746.2427 and §747.2327]. Do not swaddle an infant for sleep or rest unless you provide an Infant Sleep Exception form 2710 signed by the infant’s health care professional [§746.2428 and §747.2328].
  • State law prohibits students from possessing, dispensing, delivering, or administering an anabolic steroid. Anabolic steroids are for physician-prescribed medical use only. Body building, muscle enhancement, or the increase of muscle bulk or strength through the use of an anabolic steroid or human growth hormone by a healthy student is not a valid medical use and is a criminal offense.
  • EpiPens and Narcan will be available for emergency use during school hours. This medication will only be administered by the school nurse or trained personnel. If an individual is experiencing signs or symptoms of an allergic reaction or a drug overdose, call 9-1-1 and the student’s parents. 

    An EpiPen (epinephrine) may be administered to an individual if a suspected severe allergic reaction is taking place. Contact the nurse if the following signs and symptoms are present:

    • Hives

    • Swelling of the face or tongue

    • Shortness of breath

    • Wheezing

    • Blue coloring around lips

    • Difficulty swallowing

    Narcan may be administered nasally to an individual for a suspect opioid, drug overdose. 

    The nurse should be notified of the following symptoms: 

    • Shortness of breath or labored breathing

    • Altered mental status

    • Blue coloring of the lips

    • Clammy or pale skin

    • Pinpoint pupils

    If an individual Epinephrine or Narcan is administered emergency services will be notified and the individual will be transported to the hospital via EMS.

  • Sweetwater ISD’s approach to providing a safe learning environment for all students and staff involves frequent and ongoing cleaning and disinfecting of campuses and District-level buildings in accordance to CDC guidance on cleaning community buildings. Cleaning and disinfecting are part of a broad approach to preventing the exposure and spread of infectious diseases in schools. The process of cleaning combined with disinfecting effectively work to sanitize and keep germs on surfaces at a safe level. 

    High traffic common areas including restrooms, gyms, locker rooms, cafeterias, teacher workrooms. will be cleaned and disinfected throughout the school day. Sweetwater ISD cleaning protocols and schedules are aligned with the CDC guidance for cleaning and disinfecting. Additional cleaning measures will occur weekly, monthly, and during scheduled school closures on holidays and extended breaks.

    In the event of a viral outbreak, contractor support is available if cleaning is necessary beyond the capability of the custodial staff. The Facilities Department will continue to monitor CDC guidelines and recommendations to ensure that the safest and most current practices for the cleaning, disinfecting, and sanitizing campuses and district buildings are implemented.

    Sweetwater ISDs Students, teachers, staff, and campus visitors will be encouraged to sanitize and/or wash hands frequently. Hand sanitizer will be available at each entrance and made available during the school day in a variety of locations. Our staff will continue to teach students good handwashing techniques and encourage hand washing for at least 20 seconds at least two times each day, in addition to being encouraged to wash hands after using the restroom and before eating.

    Everyone will be encouraged to cover your mouth and nose with a tissue or the inside of your elbow when you cough or sneeze. Used tissues are to be thrown in the trash.
  • Disinfecting and cleaning products used by the custodial staff are on the Environmental Protection Agency’s list of Disinfectants for Use. Classrooms will be equipped for disinfecting between scheduled transitions and changing of student groups. Surface wipes and/or hand sanitizer will be available in multiple, easy to access locations, throughout each facility.  Electrostatic sprayers that dispense disinfectant have been acquired in order to help optimize the sanitation procedures in facilities and district vehicles. These products are stored safely, where children cannot access them, ensuring that harmful cleaning products are not used near children.
  • Sweetwater ISD contracts the replacement of HVAC filters. Filters are replaced each month for maximum filtration. The MERV-8 Poly filters are the same air filtration filters used at Hendrick Health System.
  • The district is committed to providing a safe environment. An accredited management planner has developed an asbestos management plan for each school. A copy of the district’s management plan is kept at the maintenance office and is available for inspection during normal business hours. If you have any questions or would like to examine the district’s plan in more detail, please contact  the district’s designated asbestos coordinator: Dr. Kenny Border, Chief Operations Officer, (325) 235-8601. 

    Link to Asbestos Plan coming soon

  • The district is required to follow integrated pest management (IPM) procedures to control pests on school grounds. Although the district strives to use the safest and most effective methods to manage pests, including a variety of non-chemical control measures, periodic indoor and outdoor pesticide use is sometimes necessary to ensure a safe, pest-free school environment. All pesticides used are registered for their intended use by the U.S. Environmental Protection Agency and are applied only by certified pesticide applicators. Except in an emergency, signs will be posted 48 hours before indoor application. All outdoor applications will be posted at the time of treatment, and signs will remain until it is safe to enter the area. Employees are prohibited from applying any pesticide or herbicide without appropriate training and prior approval of the integrated pest management (IPM) coordinator. Any application of pesticide or herbicide must be done in a manner prescribed by law and the district’s integrated pest management program. Notices of planned pest control treatment will be posted in a district building 48 hours before the treatment begins. Notices are generally located in the office of the building principal or facility manager. In addition, individual employees may request in writing to be notified of pesticide applications. An employee who requests individualized notice will be notified by telephone, written, or electric means. Pest control information sheets are available from campus principals or facility managers upon request. SISD contracts all pest control services with Orkin. Parents who have questions or who want to be notified of the times and types of applications prior to pesticide application inside their child’s school assignment area may contact  the district’s IPM coordinator: Dr. Kenny Border, Chief Operations Officer, at

    (325) 235-8601.

    Link to pest control plan coming soon

Copyright © {{YEAR}} - Sweetwater Independent School District.

powered by ezTaskTitanium TM