Health Services Department


    1575 Hwy 96 North
    Silsbee, Texas 77656
    Phone: 409.980.7800

    Michelle Hardy, R.N.
    Health Services Coordinator

    Silsbee High School

    Candace Tate, L.V.N. Silsbee High School

    Lee Ann Sheppard, R.N.
    School Nurse

    Edwards-Johnson Memorial Silsbee Middle School

    Carla Tarkington-Shutter, R.N.
    School Nurse

    Laura Reeves Elementary


    Paula Barclay, R.N.
    School Nurse

    Read-Turrentine Elementary


    Misti Montalvo, L.V.N.
    School Nurse

    Kirby Elementary


    About Us

    It is the intent of the school health program to provide health counseling, appraisal, screening, referral, and follow-up through program planning development and evaluation.

    The primary purpose of Silsbee Independent School District's school health program is the optimal maintenance, promotion, protection, and improvement of student, staff, and community health. The school health program personnel work collaboratively with students, parents, educators, staff members, and other community resources to assist the student to develop competence to confidently cope with the complexities of life. The program is designed to assure a safe, healthy environment that is conducive to learning and provide professional care for those who become ill or injured while at school.

    The school health program is no substitute for the health care that parents should provide for children. Rather than relieving parents' responsibilities, this program is established to encourage individuals to utilize the services of a private physician, dentist, optometrist and/or community health agency.

    Our Goals

    • To augment health instruction which guide students toward reaching full capacity as individuals who make responsible decisions about personal, family, and community health.
    • To advocate and help provide an environment conducive to the promotion and maintenance of health.
    • To detect and to provide nursing care for any physical condition that impedes learning or threatens optimum health. (Nursing care is defined as assessment, intervention, counseling, and/or referral of any physical conditions.)
    • To provide liaison among the school, home, community agencies, physicians, and other health personnel.
    • To provide a physical, mental, and emotional health advocate for children within the school.
    • To achieve acceptable levels of compliance with federal, state, and local health regulations.
    • To maintain and utilize current individual and collective health data.
    • To provide learning and growth experiences for staff members.
    • To evaluate the program's effectiveness.

    Responsibilities of Personnel

    The Silsbee I.S.D. Health Services Department consists of: a Heath Service Coordinator and a school nurse (RN or LVN) for each campus.  The approximate nurse to pupil ratio is 1 to 600. The ultimate goal of our school health program, with nursing services as its foundation, is to help children attain a health status that will enable them to take maximum advantage of their educational opportunities. Major education-related benefits involve both increasing pupil achievement and reducing unnecessary pupil absences.

     Medical Care

    If a student should have a medical emergency or become ill at school or at a school-related activity when the parent cannot be reached, the school will need to have alternate adults to contact and written parental consent to obtain emergency medical treatment. Therefore, parents are asked each year to complete an emergency care consent form. Each student receives an Emergency Care Form at the beginning of each school year. The information filled out by the parent and returned to the school nurse contains valuable information for the child's care. Parents should keep emergency care information (name of doctor, emergency phone numbers, allergies to medications, etc.) up-to-date: having current information will be of critical importance should as accident or injury occur that requires medical attention.
    The District is not responsible for medical costs associated with a student's injury. The District does make available, however, optional, low-cost student accident insurance program to assist parents in meeting medical expenses. A parent who desires coverage for his or her child will be responsible for paying insurance premiums and for submitting claims through the nurse's office.

     Medication Policy

    In accordance with the provisions of Section 21.914, Texas Education Code and the Board of Trustees, Silsbee Independent School District has adopted the following policy:

    • No medication shall be administered to any student unless the school district has received a written request to administer the medication from the parent, legal guardian, or other person having legal control of the student.
    • All medication to be administered must bear the original pharmaceutical label containing the name of the dispensing pharmacy and prescription number; the name of the student to receive the medication; the name of the prescribing physician or dentist; and full instructions for administering such medication, including the prescribed dosage and the time and frequency with which such medication is to be administered.
    • All medication to be administered to students must be kept under the custody of the school nurse in a locked container, the same to be administered to the student only by the school nurse or by some other district employee specifically designated as persons authorized to administer medication to students in accordance with this policy (the only exceptions are some asthma medications as determined by individual physicians).
    • All non-prescription medication brought by the student to school for administration by school personnel must be accompanied by a signed parental permission slip. The medication should have the label and dosage instruction.

    Parent-Guardian Request for Medication

    Physician Request for Generic Medication

    EpiPen Notification

    Prescription Asthma Inhalers

    Click here for SISD's Asthma Action Plan.

     Fever-Free Policy

    The Silsbee Independent School District policy pertaining to a child with a temperature of 100 degrees or above requires that a parent/guardian be notified and the child be sent home from school. For example, if your child has a fever 100 degrees or higher, he or she must stay out of school until fever free for 24 hours without fever-reducing medications. This policy is in the best interests of the child as well as the well being of the children who need not be exposed to a possible communicable illness. A child who is not well cannot learn to his/her full potential.

    Food Allergy Anaphalaxis Emergency Care Form

    Head Lice

    Head lice are passed from person to person by direct contact, on shared personal items or by contact with infested bedding, furniture, or carpeting. To find out more about treating lice, click here.

    School Policy on Head Lice 

    Parents are encouraged to periodically check their children's heads for lice and nits. Any student attending school with lice or nits shall be sent home for treatment and removal of lice and/or nits. Treatment and removal should be done the same day. Except in extremely bad cases of infestation, there is no reason for a child to miss another day of school. The student may return to school the same day he or she is sent home (Day 1), but must return no later than the next school day (Day 2).  Student must return no later than 8:00am on Day 2 to be checked.  The parent or guardian must accompany the student to the nurse’s office to be examined and cleared to return to class. If all lice and nits have been removed, the student will be allowed to return to class. If lice or nits are still present, the student may not return to class and will again be sent home for removal of all remaining lice and/or nits.

    The absence for the day the student was originally sent home (Day 1) will be excused if the student returns to school either the same day or the next school day (Day 2) by 8:00am and there is evidence that treatment has been done and nit removal is in progress. If this evidence is present but there are still some lice or nits present, the student may not return to class and will again be sent home for removal of all remaining lice and/or nits. In this case, the absence for Day 2 will also be excused. The absence for Day 2 will not be excused if it falls after a weekend or holiday, as the parent or guardian would have already had extra days to treat the student. No absences will be excused after Day 2. If there is no evidence that treatment has been done and nit removal is in progress when the student returns to school after Day 1, the student’s absence for Day 1 and any additional missed days will not be excused.


    More information on head lice can be obtained from the TDSHS Web site at


    Every student must be fully immunized against certain diseases or must present a certificate or statement that, for medical reasons or reasons of conscience, including a religious belief, the student will not be immunized. For exemptions based on reasons of conscience, only official forms issued by the Texas Department of State Health, Immunization Branch, can be honored by the district. The school nurse can provide information on age-appropriate doses or on an acceptable physician-validated history of illness required by the Texas Department of State Health Services. Proof of immunization may be established by personal records from a licensed physician or public health clinic with a signature or rubber-stamp validation. 

    View the Texas Department of State Health Services Immunization Requirements in English and Spanish.

    For more information regarding immunizations,  refer to the Texas Department of State HealthServices Web site.

    Exemptions for Immunizations

    The law allows (a) physicians to write a statement stating that the vaccine(s) required would be medically harmful or injurious to the health and well-being of the child, and (b) parents/guardians to choose an exemption from immunization requirements for reasons of conscience, including a religious belief. The law does not allow parents/guardians to elect an exemption simply because of inconvenience (a record is lost or incomplete and it is too much trouble to go to a physician or clinic to correct the problem).

    For children needing medical exemptions, a written statement by the physician should be submitted to the school. Instructions for the affidavit to be signed by parents/guardians choosing the exemption for reasons of conscience, including a religious belief can be found by clicking here.


    Depending on the grade level of the student, screening for hearing, vision, and scoliosis are conducted each school year. Referrals are made after a second screening later in the year.

    Other Medical Information and Resources:



    Centers for Disease Control and Prevention
    Your online source for credible health information.

     Communicable Diseases

    Parents of a student with a communicable or contagious disease are asked to telephone the school nurse or principal so that other students who have been exposed to the disease can be alerted. Students infected with certain diseases will not be allowed to attend school while the disease is contagious.

     Controlling the Flu

     For more information on the flu, click here.

     Methicillin-Resistant Staphylococcus aureus (MRSA)

    MRSA: Public FAQs | CDC Infection Control in Healthcare

    Pandemic Flu
    U.S. Government avian and pandemic flu information, managed by the Department of Health and Human Services.