by physicians, dentists, and other community health agencies. School health services promote
student health through prevention, early intervention, and referral for treatment of acute or
chronic health problems. School health services enable students to attend school in a safe
learning environment and reduce health barriers to learning.
Responsibility for School Health Services
The Florida Department of Health has statutory responsibility, in cooperation with the Florida
Department of Education, for supervising the administration of the school health services
program and performing periodic program reviews. At the county level, the provision of School
Health Services is a collaborative program between the CHD, school district, and participating
partners as outlined in the School Health Services Plan. Funding in many counties comes from
a variety of sources, including the Florida Department of Health, local school districts, health
care districts and public/private community partners.
Statutory Program Requirements
Section 381.0056, Florida Statutes and Florida Administrative Code Rule 64-F provide the
statutory authority and rules to plan, implement and monitor school health services provided in
Florida schools. Core requirements for school health programs are detailed in the biennial,
School Health Services Plan completed by each CHD in collaboration with the local school
district, and the local school health advisory committee. These requirements include: health
appraisal, records review, nurse assessment, preventive dental program, vision screening,
hearing screening, scoliosis screening, growth and development screening, health counseling,
referral and follow up of suspected or confirmed health problems, meeting emergency needs in
each school, medication administration and medical procedures, prevention of communicable
diseases, health education curriculum development, referral of students to appropriate health
treatment, consultation with students’ parents/guardian regarding need for health attention by an
appropriate provider, and maintenance of student health information. Additional statutory and
administrative code requirements are provided in subsequent sections of these guidelines.
Key Components in the Development of an Effective School Health Program
School health programs are successful when CHDs and local school districts work together to
plan, implement, monitor and evaluate the school health services being provided to their
students. Planning must consider statutory and administrative code requirements, the level of
need for health services in individual schools and communities and state and local resources
available for the provision of school health services.
Licensed health care professionals providing and supervising school health services work
closely with local school district and CHD administrators to ensure that policies and procedures
are consistent with clinical and administrative best practices. Incorporating feedback from
school health staff, school district and individual school administrators, instructional and
paraprofessional staff, parents, and community members contributes to a school health program
that can best meet the needs of district students. Staffing models should be flexible to adjust to
the changing needs of students in individual schools. Registered nurses (RN) provide direct
services, train and supervise licensed practical nurses (LPNs) and unlicensed assistive
personnel (UAP) that assist in the provision of school health services.