Through the promotion of physical, mental, and social growth, school nurses work to maximize the achievement and well-being of students. As the primary health care provider within the educational environment, the school nurse shares in the responsibility of directing growth towards the achievement of each student's maximum potential, both as a student and as a member of the community.

If you have questions please contact Sandra Jaimez Gutierrez, Health Services Administrative Assistant (650) 833-4240 or

 Rosemarie Craig, R.N., PHN - District Nurse (650) 329-3766                                         Katherine Caneba, R.N. - District Nurse (650) 329-3710 



New Immunization Law Effective 2016

These new laws will apply to any student entering Kindergarten or 7th Grade in the fall of 2016.

(SB 277) Effective in 2016

Governor Brown signed Senate Bill (SB) 277 on June 30, 2015. Starting in 2016, SB 277: 

  • Will no longer permit immunization exemptions based on personal beliefs for children in child care and public and private schools;
  • Will permit personal belief exemptions filed at a school or child care facility before January 1, 2016 to remain valid until a pupil reaches kindergarten or 7th grade;
  • Will remove immunization requirements for:
    • Students in home-based private schools
    • Students enrolled in an independent study program who do not receive classroom-based instruction
    • Access to special education and related services specified in an individualized education program

Medical Exemptions

Only a medical exemption can be accepted and this has to be signed exclusively by a California licensed physician (M.D. or D.O.)

A parent or guardian must submit a written statement from a licensed physician (M.D. or D.O.) which states:

  • That the physical condition or medical circumstances of the child are such that the required immunization(s) is not indicated.
  • Which vaccines are being exempted.
  • Whether the medical exemption is permanent or temporary.
  • The expiration date, if the exemption is temporary.
  • Student name and date of birth.
  • Physician signature and clinic stamp.

Once this expiration date has occurred, the child may continue in attendance only after the school or child-care center receives documentation of the immunizations now due.

Health Requirements for Entering Students

The State of California and Santa Clara County require all students to fulfill a number of health requirements before they can enter school. 

Immunization Clinics

Minute Clinic 
Located inside some CVS & Walgreens Pharmacies 

May View Community Health Centers
(650) 327-8717
270 Grant Avenue
Palo Alto, CA  94306
Call for Clinic Hours: 650-327-8717

100 Moffett Boulevard #101
Mountain View, CA  94043
Call for Clinic Hours: 650-695-3323

Mountain View RotaCare Free Clinic
(650) 988-8203 or (650) 988-7763
1174 Castro Street, Suite 150
(Castro Commons Professional Building)
Mountain View, CA 94043

Call for Clinic Hours

  • Bring your child's Immunization Record.
  • Free health care is offered to adults and children who do not have insurance, Medi-Cal, or Medicare.  Call for Clinic Hours First come, first served.

Mobile Health Van of Redwood City
(650) 573-2786
Call for times, dates and locations

Ravenswood Family Health Center
(650) 330-7400
1798-A Bay Road
East Palo Alto, CA  94301

Call for Clinic Hours

Forms and Protocols for Health Conditions

If your child has a chronic health condition, asthma, seizures, or severe allergies (anaphylactic reaction), the health office at each school can help keep your child safe and healthy by completing the appropriate forms and returning the forms to your school office before school starts. This will help us prepare to care for your child. Please make sure that you ALWAYS keep your emergency card up to date.

If your child has diabetes please contact the Health Services Office at (650) 833-4240 to setup your child's Diabetes protocol.

Medication Administration - at School or on Field Trips

The medical treatment of students is the responsibility of parents and physicians. Medications are rarely given in school. We strongly urge you and your physician to develop a medication schedule that falls outside of school hours. However, we will consider assisting the administering of medication in special or serious cases. 

The administration of medication is both a medical and legal process. Before medication can be administered, a student's parent/guardian and physician must provide written documentation of their permission and directions:

  1. You will need to complete and return the Administration of Medications Form to your school office.

  2. Physicians must write a note detailing the method, amount, reason, and time schedule for administering medication.

  3. Parents/guardians must submit a note indicating their desire for PAUSD to assist their child, as directed in the physician's statement.

  4. Your child's school will keep an accurate written record documenting that the medication was administered in the prescribed amount at the prescribed time.

For additional information, please download our parent letter, School Medication Administration

State-mandated Screenings

The District Nurses and other professionals conduct screenings at school sites.

  • Vision (grades K, 2, 5, 8, Young Fives, and Special Education initial and triennial evaluations)
  • Hearing (grades K, 2, 5, 8, and Special Education initial and triennial evaluations)
Health Insurance

Health insurance for the current school year can be purchased through the District for a nominal fee. The purchase is optional. Information regarding health insurance will be sent out during the summer months. If you are interested in purchasing student accident and sickness insurance, please contact your school office.

Victoria Geen-Lew, Insurance, Risk and Safety (650) 329-3735