Standards of Practice:
Vermont School Health Services Manual

The Standards of Practice: School Health Services Manual is designed to provide guidance to school administrators and school nurses in the development, implementation and evaluation of school health services.

In June 2009, the Vermont Departments of Health and Education signed a Memorandum of Understanding (MOU) to link and optimize the efficiency of the efforts of our two departments in providing school health services. This manual is a product of our cooperative effort.

The Standards were developed using best practice recommendations from the Vermont Chapters of the American Academy of Pediatrics, and American Academy of Family Practitioners, the Vermont State School Nurse Association, Vermont Medical Society, Vermont State Board of Nursing, and the Vermont Child Health Improvement Program.

Through a process coordinated between the Departments of Health and Education, the manual will be continuously reviewed and updated by the School Health Standards of Practice Committee, a subcommittee of the Joint School Health Committee.

Please contact us with any questions.

Standards of Practice: School Health Services Manual

School Health Standards of Practice Manual coverThe Manual is divided into sections. You can download or print these documents.

Each section includes:


Manual by Section

Documents are PDF format PDF document unless otherwise noted.

  1. Cover & Introduction
  2. Adult Health Services
  3. Bloodborne Pathogens
  4. Child Abuse and Neglect
  5. Communicable Disease
  6. Confidentiality
    1. Sample Confidentiality Agreement Word document
    2. Sample Authorization for release of Information Word document
  7. Coordinated School Health
  8. Delegation
  9. Documentation
  10. Drug, Alcohol & Tobacco Use
  11. Emergency/Disaster Preparedness
  12. Environmental Health
  13. Evaluation of Health Services
  14. First Aid
    1. Head Injury Assessment Form Word document
    2. Incident report Form Word document
  15. Health Appraisal of Students
    1. Preferred Annual Health Update & Emergency Authorization FormWord document
    2. Form for Newly Enrolled Student Word document
    3. Sample School Nurse Calendar Word document
  16. Health Education
  17. Immunizations
  18. Liability
  19. Licensing
  20. Medical/Dental Home
  21. Medications
    1. Out of State Field Trips: Medication and Procedures
    2. Field Trip Emergency Information and Medical Form Word document
    3. Medication Administration Training in the School Setting Form Word document
    4. Medication Incident Report Word document
    5. Medication Procedure
    6. Verbal Medical Order Form
    7. Comprehensive Alcohol, Tobacco and Other Drug Prevention
    8. Naloxone Training Resources
      1. Naloxone Advisory: Emergency Treatment for Opioid Overdose
      2. Naloxone Memo: Options for Accessing Naloxone (Nov 2015)
      3. Naloxone Training Presentation Powerpoint 5MB
      4. Training of Naloxone Administration by (School) Nurses
      5. Core Competencies (MA Department of Health)
  22. Mental Health
  23. Nutrition
  24. School Health Services Practice
  25. Screening
    1. School Health Screenings Memo (Nov. 2015)
    2. Suggested Sample Forms Word document
  26. Students with Special Health Needs
    1. Procedure Worksheet: Do Not Resuscitate (DNR) or Do Not Attempt Resuscitation (DNAR) Orders
    2. Confidential Individualized Health Plan

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School Health Standards of Practice Committee (SHSPC)

SHSPC consists of 5 school nurses, the Vermont Department of Health’s School Nurse Consultant, the Vermont State School Nurse Association President, as well as a Vermont Chapter of the American Academy of Pediatrics Pediatrician and Health Educator.

Joint School Health Committee (JSHC)

JSHC consists of professional staff from the Department of Health and Agency of Education, as well as representatives from such groups as, an institution of higher education, the Vermont State Board of Nursing, the Vermont Chapter of the American Academy of Pediatrics, the Vermont Chapter of the American Academy of Family Physicians, the Vermont State School Nurses' Association, the Vermont Medical Society, the Vermont Principals' Association, the Vermont Superintendents Association, the Vermont School Boards Association, and the University of Vermont's Vermont Child Health Improvement Program.

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Contact us

Questions, comments, or suggestions about the Vermont School Health Website, email:

For information about statewide programs or policies administered at the local level, please contact your nearby Health Department District Office.

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