VCOE Comprehensive Health and Prevention Programs (CHPP) provides leadership, technical assistance, resources and strategies to support optimal physical, social, emotional, and intellectual well-being so students are ready to learn.

Please see submenus to the left for Health Forms for School, HSSPC items, and Mandated Health Forms.
 

County and State Health Resources

California Department of Education Health Services & School Nursing
 

California School Entry Health Examinations

• Report of Health Examination for School Entry
• Waiver of Health Examination for School Entry
• CHDP School Handbook: School Entry Health Examination Requirements - California Department of Health Services 
• Immunization and Health Form - English
• Immunization and Health Form - Spanish
• Oral Health Form - English
• Oral Health Form - Spanish
• CIF Concusion Awareness Form - English
• CIF Concusion Awareness Form - Spanish
• CIF Concussion Information - English
• CIF Concussion Information - Spanish

Dental

• Dental Treatment Referral Form - Updated January 2016
• Dental Providers
• Covid-19 What is a Dental Emergency? 

Epinephrine

• Entire Epinephrine Protocol - Updated 4/13/18

Individual Documents for Epinephrine Auto-Injectors

• Prescription for Epinephrine Auto-Injector(s) - Standing Order - Updated 4/13/18
• Disposition & Destruction Form
• Program Assurance - Updated 8/30/16
• Epinephrine Auto-Injector Protocol - Updated 9/15/16
• Symptoms of Anaphylaxis

Editable Documents for District Letterheads

• Defense & Indemnification for Volunteers - Employee Signature (Word Document)
• Draft Letter for Volunteer Request (Word Document) NEW JUNE 2015

Exclusion

Quick Reference for Exclusion of Students

Head Lice (Pediculosis)

• California Department of Public Health - Head Lice
• California Department of Public Health - Guidance on Head Lice Prevention and Control for School Districts
• California Department of Public Health - A Parent's Guide to Head Lice (English) Other languages available here.
• California Department of Public Health - A Parent's Guide to Head Lice (Spanish)
• National Association of School Nurses - Headfirst Lice Lessons
• School Nursing Guidelines for the Control of Pediculosis (Updated by HSSPC, Reviewed by Dr. Levin 2015)
   

Insurance

• Gold Coast
• Covered California
   

Immunizations

• Notice of Immunizaations Needed - English
• Notce of Immunizations Needed - Spanish
• Revoked Medical Exemptions Appeal Request Instructions - English
• Revoked Medical Exemptions Appeal Request Instructions - Spanish
• Sample Letter from School: Notice to Parents and Guardians about Revocation of Medical Exemptions - English and Spanish
• California Immunization Requirements for School Entry K-12 - English
• California Immunization Requirements for School Entry K-12 - Spanish
• Communicable Disease Guidelines - Updated October 2015
• SB 277 - English and Spanish Letter to Parents - Updated January 2016
• Centers for Disease Control and Prevention Vaccines & Immunizations Main Page
• Centers for Disease Control and Prevention - Basic and Common Questions
• Centers for Disease Control and Prevention - FAQs about Vaccines
• California Immunization Information for Schools and Childcare Programs
• California Immunization Requirements for Childcare
• ShotsforSchool Website
• EZIZ - A One Stop Shop for Immunization Training and Resources
• CDC: Aids to Translating Foreign Immunization Records
• Pertussis Immunization Requirements - California Department of Education
• Immunization and Health Checkup - CalEd Facts
• Immunization and Health Form - English
• Immunization and Health Form - Spanish

Legal Advisories

• New Law SB 277 Effective in 2016  - Shots for Schools Updates
• 2013 California Supreme Court Ruling on Medication Administration

​Medical Waste Transportation Requirements

• Transportation of Limited Quantatites of Medical Waste Under D.O.T. Materials of Trade Exemption
• Department of Transportation (D.O.T.) Materials of Trade Exemption Directions for Preparing Medical Waste Shipping Tracking Documents 
• Department of Transportation (D.O.T.) Materials of Trade Exemption Sample Shipping Tracking Document  

Medication Administration

• California Department of Education Medication Administration
• 2020-21 Jan-June Medication Administration Log
• 2020-21 July-Dec. Medication Administration Log
• 2021-22 July-Dec. Medication Administration Log
• 2021-22 Jan.-June Medication Administration Log
• Authorization to Administer Medications at School - English
• Authorization to Administer Medications at School - Spanish

Miscellaneous Resources

• A Parent's Guide to MRSA - California Department of Public Health
  - Available Translations       
• Asthma Management Guidelines - California Department of Education
• Hand, Foot and Mouth Disease Notification - California Department of Public Health
                  - Available Translations
• Sun Safety and Skin Cancer - California Department of Public Health
• Report of School Vision Test
  - Available Translations
• Color Vision Test Results
  - Available Translations
• Oral Health Assessment - California Department of Education

Naloxone

• 2020 Naloxone Protocol 
• Prescription 
• Program Assurance
• Training Log
• Disposition and Destruction
• Naloxone Administration
• Volunteer Request