Supporting Your Student's Physical and Mental Health

TK/Kindergarten Enrollment

To protect the health of children, California law requires a health examination up to 18 months before or 90 days after your child's 1st-grade year. You will receive this form at the time of registration and will need to take it to your child's healthcare provider to be completed.

• Report of Health Examination for School Entry
• Siskiyou County CHDP Providers
• Waiver of Health Examination for School Entry
• CHDP Forms
• Pursuant to California Education Code Section 49452.6, this Type 1 Diabetes information provided by the California Department of Public Health is for local educational agencies to provide to parents and guardians of incoming elementary school students.  The fact sheet includes information about risk factors, warning signs, screening tests, and treatments.

Immunization Requirements

• Immunization Requirements - CA Dept of Education
• California Immunization Requirements for TK/K-12th Grade
• Medical Exemptions in California
• Siskiyou County Public Health Department
  • Immunization Clinic Program
• Digital Vaccine Record - To access a copy of your student's vaccine record through the state of California

Health Conditions and Medications at School

• Recommended Guidelines for Excluding Children from School Due to Illness
• Medication Authorization Form
• Medication Effectiveness Monitoring Form
• Release of Information Form
• Medical Statement for Meal Accommodations - for food allergies and intolerances
• Attention Deficit Hyperactivity Disorder (ADHD) Screener
  
• Specialized Physical Healthcare Plans/Emergency Management Plans
  • Asthma Management
  • Anaphylaxis Management
  • Cardiac Management
  • Epilepsy Management
  • Parent Request for a Specialized Physical Healthcare Plan

 Dental Health

To make sure your child is ready for school, California law requires that your child receive an oral health assessment by May 31st of their Kindergarten year. Assessments that happened within 12 months prior to school entry also meet this requirement.  A Kindergarten Oral Health Assessment form is included in the enrollment packet and will need to be taken to your child's dental care provider to be completed.

• Oral Health and School Readiness - Smile California
• Kindergarten Oral Health Assessment Form
  • Spanish Version
• Why Schedule a Dental Visit
• Oral Health Assessment - CA Dept of Education
• Medi-Cal/Partnership Dental Providers
  • Anav Tribal Health Clinic
    • 9024 Sniktaw Rd., Fort Jones, CA 96032
    • (530) 468-4470
  • Karuk Tribal Health Clinic
    • 1519 S. Oregon St., Yreka, CA 96097
    • (530) 842-9200
  • Fairchild Dental Clinic
    • 475 Bruce St., Yreka, CA 96097
    • (530) 841-4960

Vision Health 

• For very low-cost glasses, visit Zenni Optical
• Optometrists/Ophthalmologists
  • Shasta Vision Group - Dr. Brooks (will accept Medi-Cal/Partnership)
    • 110 Chestnut St., Mt. Shasta, CA 96067
    • (530) 926-2033
  • Siskiyou Eye Center (private insurance or by doctor referral)
    • 2524 Westside Rd., Yreka, CA 96097
    • (530) 842-2760

 Lice

• YUSD Board Policy on Head Lice
• A Parent's Guide to Head Lice
• CSNO Position Statement on Head Lice
• NASN Head Lice Management for Schools
• California Department of Public Health Information on Head Lice
• Non Chemical Head Lice Treatment Protocol
  

Naloxone/Opioid Antagonist 

• YUSD Board Policy on Medication Administration
• YUSD Administrative Regulations on Medication Administration
• CA Ed. Code 49414.3
• CSNO Opioid Antagonist Position Statement
• Preventing, Recognizing, and Treating Opioid Overdose - SAMHSA
• What is Naloxone? - SAMHSA
• Naloxone Volunteer Form - YUSD Employees

COVID 

• California Safe Schools for All - COVID-19 Information Portal
• COVID-19 Testing Information - Siskiyou County Department of Public Health
• YUSD has free at-home COVID tests available for our families.  

General Resources 

• Health Services & School Nursing - CA Dept of Education
• Siskiyou County Office of Education School-Based Mental Health and Wellness Resources

Counseling 

• Counseling Referral Form
• Counseling Request for Information Form for JSS
• Counseling Request for Information Form for EVG
• School Counseling Informed Consent Form
• Telehealth Consent Form

Mental Health Services 

• Siskiyou County Behavioral Health
• Fairchild Behavioral Health Clinic
• Y.E.S. - Youth Empowerment Siskiyou (formerly CASA)