Health & Immunizations


For resources on mental health and well being, click on the link below to visit our

Student Mental Health page


Healthy Kids


In Bend-La Pine Schools, we believe student health is a critical component for our students' education. This includes physical, emotional and mental health. The resources on this page can help families answer questions about immunizations, common health ailments and more.

Student Accident & Sickness Insurance

It is important to know that Bend-La Pine Schools do not carry accident insurance for students. This means that you are responsible for the medical bills if your child gets hurt during school activities. However, as a service to you and your child, the District does provide access to a low cost, voluntary purchase student accident/health insurance program. You can learn more here:


When Should I Keep My Child Home?

Students should be excluded from the school setting if they exhibit:

1. *PRIMARY SYMPTOMS OF COVID-19: Refer to Resiliency Framework and Planning for COVID-19 Scenarios in Schools.
  • If 1 primary symptom, MAY RETURN AFTER
    • 24 hours after fever is resolved, without use of fever-reducing medicine, and other symptoms are improving, if COVID-19 test is positive
    • OR 5-day isolation, if COVID-19 test is positive
  • If 2+ primary symptoms, MAY RETURN AFTER
    • 24 hours after fever is resolved, without use of fever-reducing medicine, and other symptoms are improving, if COVID-19 test is negative
    • AND 5-day isolation, if COVID-19 test is positive or not tested

*NON-PRIMARY SYMPTOMS OF COVID-19: Refer to Resiliency Framework and Planning for COVID-19 Scenarios in Schools.

Anyone with a positive COVID-19 test result should be excluded for 5 days (5 days after symptom onset, or 5 days after test date if no symptoms).

Fully vaccinated individuals with symptoms of illness should follow above guidance unless otherwise advised by LPHA and OHA statewide posted notices.

2. *FEVER: a measured temperature equal to or greater than 100.4 degrees F orally. Temperature checked via other routes should be considered fever if equivalent to 100.4 degrees F orally.

  • MAY RETURN AFTER fever-free for 24 hours without taking fever-reducing medicine AND per guidance for primary COVID-19 symptoms.

3. *COUGH: persistent cough that is not yet diagnosed and cleared by a licensed healthcare provider OR any acute (non-chronic) cough illness OR cough that is frequent or severe enough to interfere with participation in usual school activities.

  • MAY RETURN AFTER symptoms improving for 24 hours (no cough or cough is well-controlled) AND per guidance for primary COVID-19 symptoms.
  • If pertussis ("whooping cough") is diagnosed by a licensed healthcare provider, student must be excluded from school until completion of a 5-day course of prescribed antibiotics or until cleared for return by the LPHA.

4. *DIFFICULTY BREATHING OR SHORTNESS OF BREATH not explained by situation such as exercise: feeling unable to catch their breath, gasping for air, breathing too fast or too shallowly, breathing with extra effort such as using muscles of the stomach, chest or neck.

  • MAY RETURN AFTER symptoms improving for 24 hours AND per guidance for primary COVID-19 symptoms.
  • This symptom is likely to require immediate medical attention.

5. HEADACHE WITH A STIFF NECK OR FEVER.

  • MAY RETURN AFTER symptoms resolve AND per fever guidelines if applicable.
  • This combination of symptoms can indicate a serious condition. Medical attention strongly recommended.

6. DIARRHEA: three or more watery or loose stools in 24 hours OR sudden onset of loose stools OR student unable to control bowel function when previously able.

  • MAY RETURN AFTER 48 hours after diarrhea resolves OR after seen and cleared by a licensed healthcare provider.

7. VOMITING: at least 1 episode that is unexplained.

  • MAY RETURN AFTER 48 hours after last episode of vomiting OR after seen and cleared by a licensed healthcare provider.

8. SKIN RASH OR SORES: new rash not previously diagnosed by a health care provider OR if rash is increasing in size OR if new sores or wounds are developing day-to-day OR if rash, sores, or wounds are draining and cannot be completely covered with a bandage.

  • MAY RETURN AFTER rash is resolved OR until sores and wounds are dry or can be completely covered with a bandage OR after seen and cleared by a licensed healthcare provider.

9. EYE REDNESS AND DRAINAGE: unexplained redness of one or both eyes OR colored drainage from the eyes OR eye irritation accompanied by vision changes OR symptoms such as eye irritation, pain, redness, swelling or excessive tear production that prevent active participation in usual school activities.

  • MAY RETURN AFTER symptoms resolve OR after seen by a licensed healthcare provider and indicated therapy has been started.
  • Eye redness alone, with no colored drainage, may be considered for attendance per CDC guidelines and school nurse assessment.

10. JAUNDICE: yellowing of the eyes or skin that is new or uncharacteristic.

  • MAY RETURN AFTER seen and cleared by a licensed healthcare provider.

11. BEHAVIOR CHANGE: may include uncharacteristic lethargy, decreased alertness, increased irritability, increased confusion, or a behavior change that prevents active participation in usual school activities.

  • MAY RETURN AFTER symptoms resolve; return to normal behavior OR after seen and cleared by a licensed healthcare provider.
  • This symptom can indicate a serious condition. Medical attention strongly recommended.

12. MAJOR HEALTH EVENT or STUDENT REQUIRING MORE CARE THAN SCHOOL STAFF CAN SAFELY PROVIDE. May include an illness lasting more than 2 weeks; an emergency room treatment or hospital stay; a surgical procedure with potential to affect vital signs or active participation in school activities; or a new or changed health condition for which school staff is not adequately informed, trained, or licensed to provide care.

  • MAY RETURN AFTER health and safety are addressed.
  • Medical attention strongly recommended. Written instructions from a licensed healthcare provider are likely to be required.
  • Schools must comply with state and federal regulations such as the Americans with Disabilities Act ensuring free and appropriate public education (FAPE). School staff should follow appropriate process to address reasonable accommodations and school health service provision in accordance with applicable laws.

  • Lice (live bugs): May return after a pediculicide lice treatment shampoo has been applied (per manufacturer or physician instruction) and there are no live bugs. See district lice procedure: English or Spanish
  • Strep throat: May return after after 24 hours on antibiotics.

School Based Health Centers

Our school based health centers offer hours during winter break.

Bend Senior High School Based Health Cente

Normal hours of operation - Please call us at 541-383-3005 before visiting our clinics

La Pine School Based Health Center

Normal hours of operation


Immunization Information

Immunizations are required by state law for children and students in attendance at public and private schools, preschools, childcare facilities and Head Start programs in Oregon. Nearly every facility that provides care for a child outside the home requires immunizations or a medical or non-medical exemption to stay enrolled.

  • Kindergarten students & new students are not allowed to attend school until they have a minimum of one dose each of required vaccines.
  • Required vaccines: English and Spanish
  • If your student does not meet the state requirements for immunization you will receive an exclusion notice mailed in late fall or early winter. This is a letter stating that your child must be immunized according to state requirements or will not be admitted to school starting on February 16, 2022. If you receive an exclusion notice, contact your medical provider to have your child immunized. Children who are not up-to-date on their immunizations by February 16, 2022 will be excluded from school until their immunizations are up-to-date.
  • Students may return to or begin school after parents bring proof of up-to-date immunizations or the appropriate medical or non-medical exemptions to the school office.
  • For immunizations contact your child’s health care provider or other resources.
  • Tuberculosis testing may be required for students born in a foreign country.
  • Students may be exempted from receiving certain immunizations for medical or non-medical reasons.
Kindergarten students will have an additional exclusion date of November 17. Parents will receive notification at the time of enrollment or early in the school year if their student needs immunizations for this exclusion date.

Immunization Rates for Bend-La Pine Schools

  • Learn the district's immunization rates here. Search the document for your school.
  • Oregon immunization rates by county here.

Why Should I Immunize My Child?

CDC

Deschutes County Health Department

NonMedical Vaccine Exemptions

Where Can I Get My Child Immunized?

  • Child's primary health care provider
  • Most local participating pharmacies provide vaccines for children 7 years and older
  • Immunization Locations for Kids

My Child is Enrolled in Online School, Does He or She Need to Be Immunized?

If they attend school or activities five or more days during a year, they must comply with state immunization requirements.

Who Can I Talk to if I Have Questions or Need Help?

Your school’s office or school nurse as well the Deschutes County Health Department.

Additional Immunization Information

CDC Immunization Information


Medication Use

What If My Student Needs to Take Medication During the Day?

A student with asthma or severe allergies may be permitted to administer medication to themselves without assistance from designated personnel. The student must demonstrate the ability, developmentally and behaviorally, to self-administer prescription and/or non-prescription medication and must have the following documentation completed:

  1. A signed Bend-La Pine consent form for self-medication administration. Medication Self Administration Form
  2. For asthma, diabetes: A medication prescribed by a prescriber or other licensed health care professional for managing the student’s condition and directs use by the student while the student is in school. The prescriber will include acknowledgment that the student has been instructed in the correct and responsible use of the prescribed medication.
  3. The permission to self-administer the medicine from a Bend-La Pine school nurse.
  4. With the exception of epinephrine, Glucagon, insulin, and topical creams, all self-administered medications should be in the original container and contain only the amount of medication needed for that day.

What If I Want My Student to Carry His or Her Own Medicine During the Day?

Applies to students in grades 6-12. Complete the 2 sided, self medication form and turn it into the counseling or main office. Students may only carry one day's dose and it must be in the original container. Asthma rescue inhalers will have many doses.

What About Cough Drops, Orajel, Antibiotic Ointment and Other Topical Creams?

All of the above have to be treated like medication at school because they contain active ingredients and can cause allergic reactions and/or over-dosage. Parents need to bring them to school and sign a permission form.

For older students, in order to self carry the cough drops, a self medication form must be completed by the parent and student. The easiest way to avoid this is to use hard candy instead of medicated cough drops.

Consider medicating your child with Tylenol or Ibuprofen in the morning if they have tooth pain instead of sending medication to school. Be sure to access dental care as needed. If you need assistance with this, contact your school nurse. Some children are allergic to topical creams so they must be stored in the health room and a permission form signed by the parent. For older students who want to self carry, please complete a self medication form.