Health & Immunization Information

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Immunizations Requirements

State Law

Salem-Keizer School District 24J is required by state law to keep a record of each student’s immunizations. Parents who are enrolling a student in school must complete a Certificate of Immunization Status form with their child’s record of immunizations.

Kindergarten students are not allowed to attend school until they have a minimum of one dose each of required vaccines.

See information on updates to Oregon Immunization Law on the Oregon Health Authority’s website.

Immunization Requirements

Immunization Resources in Marion and Polk Counties

Attached is a PDF document listing Immunization Resources in Marion and Polk counties.

Where Can You Get Immunizations?

Immunizations are available at your student’s doctor’s office, at many pharmacies, or at county health departments. Call for information or to schedule an appointment.

Marion County Health Department
3180 Center St. NE
Salem, OR 97301
503-588-5342

Polk County Health Department
182 SW Academy Suite 302
Dallas, OR 97338
503-623-8175

For questions or more information, contact Student Services at 503-399-3101.

Student Services

Office Hours

Monday-Friday
8am-5pm
Location

Paulus Administration Center
1309 Ferry Street SE
Salem, OR 97301
Nurse Help Line

503-399-3376
Office phone

503-399-3101
Contact Form

Fill out the contact form

Student Services Staff

Office Manager

Shannon Stoutenburg
Director of Student Services

Melissa Glover

Medication Administration

Medication Administration in Schools (HST-W004) in English/Spanish

Pupil Medical Record

Pupil Medical Record (HST-F003) in English | Spanish

Immunization Reports by School and Location

Go to Immunization Reports

Nonmedical Exemptions

There are two ways to claim a nonmedical vaccine exemption in Oregon. Visit the Oregon Health Authority’s website for details.

Go to the OHA Website’s Nonmedical Exemption Info

Key Things to Know About COVID-19 Vaccines

Find out the latest information about COVID-19 vaccination on the Centers for Disease Control and Prevention website.

Go to the CDC’s Website

Medical and Health Related Documents

Medical

Airway Provider Treatment Orders ♦ HST-F021 — Physician's authorization for administration of airway specific health care services. Fax filled out form to Student Services at 503-316-3500.

Asthma Treatment Plan ♦ HST-F006 — This form is completed by District personnel and a student's parent. It provides basic information about asthma triggers, symptoms, and hospitalizations. English

Authorization to Use or Disclose Protected Information ♦ INS-F078 — used to request a release of student information. English | Spanish

Daily Medication Administration ♦ HST-W004 — Informs school staff and parents of rules applicable to administration of medications to students. The instructions are in English and Spanish on this same document.

Dental Health — a comprehensive, school-based approach to dental health education, prevention, and access to treatment

Guidelines for Attendance and Physical Activity in School ♦ HST-F018 — form for health care providers to fill out for releasing students back into PE and sports participation

Immunization Reports — charts in English and in Spanish shows how many school-age kids are up to date on immunizations at each Salem-Keizer school

Immunization Requirements ♦ HST-W002 — Student immunization requirements by grade level. Document has both English and Spanish.

LPHA Communicable Disease Line List ♦ HST-F014 — List used for contact tracing. Consult nurse help line for assistance.

Pandemic Flu and Infectious Disease ♦ HST-M001 — provides guidance to district leadership and staff in the event of a pandemic outbreak in the Salem-Keizer Public Schools (SKPS) or the region.

Provider Report and Treatment Orders ♦ HST-F020 — Physician's authorization for administration of specialized physical health care services. Fax filled out form to Student Services at 503-316-3500.

Pupil Medical Record Form ♦ HST-F003 — Form for guardians to fill out evaluating their student's health. Arabic | Dari | English | Spanish | Swahili

Seizure Treatment Orders ♦ HST-F019 — Physician's authorization for administration of seizure management at school. Fax filled out form to Student Services at 503-316-3500.

Severe Allergy and Anaphylaxis Emergency Care Plan ♦ HST-F007 — This form outlines signs and symptoms of systemic (anaphylactic) reactions for an individual student and provides response directions.

Student and Parent Concussion Statement ♦ INS-F071 — Statement for parents and students to sign showing that they understand the risks of concussions and how to take care if a concussion occurs. English | Spanish

COVID-19

COVID-19 Testing in SKPS K-12 Schools ♦ HST-W018 — Guidelines for COVID-19 testing onsite and reporting of the COVID-19 communicable disease within the student and staff population at Salem-Keizer Public Schools (SKPS). SKPS will follow the OHA COVID-19 Testing in Oregon’s K-12 Schools. SKPS will work collaboratively with LPHA and OHA during the communicable disease or virus outbreak process. This work instruction and all addendums attached, provide the framework for the districts COVID-19 testing response. The District Health Authority (DHA) and onsite testing team will be the liaison between SKPS and the LPHA and OHA for communicable disease response for COVID-19 testing.

Release of Ill or Symptomatic Student ♦ HST-W017 — Process for staff to follow when a student displays signs of infection illness consistent with COVID-19. English | Spanish

Health & Immunization Information

Immunizations Requirements

State Law

Immunization Requirements

Immunization Resources in Marion and Polk Counties

Where Can You Get Immunizations?

Student Services

Office Hours

Location

Nurse Help Line

Office phone

Contact Form