Health Services

Required Immunizations for Pre-K

Required Immunizations for K-12

Conscientious Exemption

Commerce ISD requires that all students who need medication administered during school hours comply by the following: 1. Present a written consent form signed by the parent/ legal guardian AND doctor. 2. Prescription medication must be in the original container and properly labeled by pharmacy. Over the counter medication must be brand new with seal intact. 3. Parent/ guardian must bring/ pick up medications from school. Students may not bring medications to school. No expired medication will be accepted.  
Medication Authorization Form

2023-2024 Annual Report

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Vision and Hearing Screening

• All pre k within 45 days of beginning of current school year
• K, 1st, 3rd, 5th and 7th graders  within first semester
• Any new students regardless of grade level within 120 days of enrollment

Spinal Screening

• CISD usually conducts spinal  screening in Nov/Dec
• Girls in 5th and 7th grade
• Boys in 8th grade

Risk Assessment for Type II Diabetes (Acanthosis Nigricans marker)

• This screening is done at the same time as vision and hearing and involves examining the back of the neck for a dark velvety discoloration.
• If the AN marker is present the nurse will also measure BMI (body mass index includes height and weight) and blood pressure.
• Parents/Guardians will be notified by letter of any abnormal screening results. 

Commerce ISD's Prevention and Emergency Response Plan

• Provide information and education to staff, students and families about the prevention of Opioid overdoses including fentanyl related incidents.
• Every Commerce ISD elementary, middle, and high school campus will be supplied with Narcan, a medical solution that can restore normal breathing if a person is experiencing a fentanyl related overdose.
• Every school campus will have designated staff who will receive training before being allowed to administer Narcan on their campus.

Fentanyl Video Resources

Family Resources

Conversation talking points to share with your family:

• Fentanyl has been linked to student deaths in Hunt County. The drug market has been flooded with millions of fake prescription pills that are made of fentanyl.
• Assume all pills you get online on Snapchat, Instagram, Facebook or Twitter or from a friend are not safe, and small amounts can be deadly.
• There is no way to test a pill to see if it is real. Do not trust anyone who tells you that "these pills are safe." No one knows for sure, no matter what they say.
• M-30s are the most common markings on fake pills. Do not take a pill marked M- 30.
• If you didn't get a pill from your doctor, don't put it in your mouth. It's not worth the risk!

• Take advantage of national take-back days and resources to clean out your medicine cabinets and turn in - safely and anonymously - unused or expired prescription drugs.
• CVS in Commerce also offers medication disposal.

Resources for Opioid Misuse and Addiction 

• Visit the online treatment locator or send your zip code via text message: 435748 (HELP4U) to find help near you
• Crisis Text Line

• Text HOME to 741741 to reach a volunteer Crisis Counselor.
• Chat with a Counselor
• Message on WhatsApp

Please help us  promote a healthy learning environment for all students and staff by observing the following guidelines:

• Keep your contact and emergency information updated on Skyward.
• If your child has a fever of 100 or higher, vomiting or diarrhea illness they must stay home until symptom free for 24 hours without medication.
• Students with a new unknown rash, red eyes or draining wound or sore will be required to see their physician and obtain a release before returning to school. 
• All open wounds must be covered by a dressing and not be leaking outside the dressing and or clothing.
• After treatment with medication for 24hrs students with infections may return to school with a physician note. 
• Following these basic guidelines will help prevent the spread of infectious conditions and improve attendance for all students.
• Please contact your campus nurse for more information regarding when to keep your student home from school.

Illness Details

Bacterial Meningitis

For information on bacterial meningitis, for which the state of Texas requires a vaccine, please read over the fact sheet provided here. The meningitis vaccine is required for students entering the 7th grade. In addition, a second vaccine may be recommended by some groups for college students, particularly freshmen living in dorms or residence halls.

Lice

Students found to be symptomatic of lice infestation will be assessed by the school nurse/clinic personnel. For students found to have evidence of live lice infestation:

• Exclude students at the end of the school day. Parents have the option to pick up their student before the end of the day to allow enough time for treatment.
• Students must be free of live lice before readmission.
• School nurse/clinic personnel will check students excluded for live lice upon return to school to determine effective treatment.
• Instructions for the treatment of head lice are available from the school nurse.