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Health Related Exclusion & Readmission

Denison ISD Health Services Health Related Exclusion & Re-admission Guidelines

It is the goal of Denison ISD to protect the health of all students and staff. There may be times when school exclusion is necessary due to health related reasons. The school nurse or principal designee will notify parents when a student must be excluded for medical reasons. It is the responsibility of the parent or guardian to pick up the student in a timely manner. If you take your child to a healthcare provider for evaluation of illness or injury, please be sure to request a written note stating when your child may return to school and any accommodations required upon return. To protect all students as well as our faculty and staff, students may be excluded from school for the following health reasons:


Communicable Diseases

  • Denison ISD follows the requirements of the Texas Administrative Code (TAC), Rule §97.7, Diseases Requiring Exclusion from Schools, for illness-related exclusions from school. Students having, or suspected of having, certain communicable conditions are not permitted to attend school.

  • Exclusion shall continue until the readmission criteria for the conditions are met.

CONDITION: Fever – temperature of 100◦ F or higher

EXCLUSION/READMISSION CRITERIA: Exclude until fever free for 24 hours, without the use of fever suppressing medications.

CONDITION: Diarrhea – 3 or more episodes of loose stools in a 24hr period

EXCLUSION/READMISSION CRITERIA: Exclude until diarrhea free for 24 hours without the use of diarrhea suppressing medications.

CONDITION: Vomiting – 2 or more episodes in 24hr period

EXCLUSION/READMISSION CRITERIA: Exclude until vomit free for 24 hours without the use of antiemetic medications.


EXCLUSION/READMISSION CRITERIA: Exclude until at least 5 days have passed since symptoms onset, fever free, and other symptoms have improved. Children who test positive but do not have symptoms must stay home until at least 5 days after the day they were tested.

CONDITION: Influenza


CONDITION: Streptococcal Infection (Strep Throat/Scarlett Fever)

EXCLUSION/READMISSION CRITERIA: Exclude until 24hrs after the start of effective antibiotic treatment and fever free.

CONDITION: Conjunctivitis, Bacterial or Viral (Pink Eye)

EXCLUSION/READMISSION CRITERIA: Exclude until symptom free or a physician’s note is received clearing the child to return.

CONDITION: Infections – Wound, Skin, or Soft Tissue

EXCLUSION/READMISSION CRITERIA: Exclude only if drainage cannot be contained or maintained in a clean, dry bandage

Non-Communicable Disease/Injury

  • A student may be excluded for health concerns other than communicable diseases, if staying in the classroom is counterproductive to the safety and wellness of the student or others. Examples of conditions that might require exclusion include asthma exacerbations, allergic reactions, and musculoskeletal injuries.

  •  A school nurse or other principal designee will make this decision.

  • Students may be required to show symptom improvement or provide a note from a healthcare provider prior to being re-admitted.

  • Denison ISD does not provide crutches or wheelchairs for use at school. Students are required to submit a note to the school nurse from a health care provider to bring and temporarily use crutches/wheelchair in the school setting. The note should include the anticipated length of time the student will need to use these assistive devices, along with the length of time the student needs to be excused from activity (PE/Recess). This may not apply to students with a documented lifelong medical condition that requires assistive devices.

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