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Some of the forms linked on this page may not be accessible. For accessibility assistance with these documents, contact the school at 704-705-1698.

A student’s health is important to his or her success in school.  Langtree Charter Academy employs a school nurse who provides services to minimize health conditions that impede learning.  School health services include:

  • Screening, assessment, identification, and planning for the care, safety, and ongoing evaluations of students with health needs
  • Recommendations to community resources
  • Consultation with administrators and staff regarding health-related activities at school such as clinic procedures, medications administration, medically authorized procedures and communicable disease control
  • Health training for all staff members

Communicable Disease Conditions

School personnel with notify parents is a child appears to have signs and/or symptoms of a communicable disease or condition so that they can seek medical advice or attention.  Students will be excluded from school for the period of communicability and readmitted in accordance with recommendations from their health care provider and/or DHHS Regulations for Control of Communicable Diseases.

In the event that a student is involved in an accident where they may have been exposed to another person’s blood or body fluid, the LANG post exposure protocols with be followed.

Garrett’s Law

Garrett’s law was enacted in 2004. It mandates schools provide parents and guardians with information about meningococcal meningitis and influenza and the vaccines that protect against these diseases. The law was expanded in 2007 to mandate that information also be provided about human papillomavirus (HPV) and the vaccines available to protect against HPV.

The following materials are available to support this effort.
Meningococcal Meningitis

Influenza (opens new window)

Human Papillomavirus (HPV) (pdf)

Please visit http://www.immunize.nc.gov for more information.

General Health Recommendations

Children perform better at school when they are well nourished and get adequate sleep (needing as much as 9-11 hours each night). Regular school attendance is important, but children who are sick need to stay home to recuperate. A student, who is vomiting, nauseous, has diarrhea, or running a fever of a least 100 degrees should not be sent to school until they are symptom free for 24 hours.

Health/Emergency Information Cards

Each parent/guardian will receive a card to provide necessary health and emergency information which will be shared with appropriate staff. The card must be completed and returned immediately so that your directions may be followed in an emergency. This information must include current parental/guardian contact information and other emergency contacts and numbers, such as a relative, friend, or neighbor. When sickness or accidents occur at school, parents are notified as soon as possible. It is critical that the numbers/information be updated and kept current during the school year. It is extremely important that we are able to reach you in the event of an accident or illness.

Kindergarten and 6th Grade Health Requirements

All children in North Carolina must be vaccinated against certain diseases according to General Statute (G.S.) 130A-152. Immunization records are checked when a child enters school. No student may attend any grade (Pre-K-12) without presenting a certification of immunization. The parent/guardian has 30 calendar days from the student’s first day of attendance to show proof of the required immunization or provide evidence that they are in process of completing their immunizations.

Religious or medical exemptions from this law require that a statement be made on file at the school in the student’s cumulative record.

NC-Exemption (pdf)


Students entering kindergarten must present a completed Health Assessment Report and students entering grade 6 must have a booster shot. The health assessment shall be completed no more that 12 months prior to the date of school entry. Principals have both the authority and responsibility to exclude students who have not presented a health assessment report with 30 calendar days of school enrollment.

Parents will be asked to sign and provide a copy of the North Carolina Immunization and Health Assessment Requirement form when they registrar their child in school.

Please visit http://www.immunize.nc.gov for more information.


In order for a student to receive prescription and non-prescription medicines at school, a parent/guardian consent and written authorization from a licensed heath care provider are required. Medications cannot be given to a student at school until a Medication Authorization form has been received. A separate form is required for each medicine. New authorization forms are required every year at the beginning of school, whenever the dose or directions change, or when a new medicine is prescribed. It is the parent’s responsibility to provide all medicines to be given at school. Each medicine must be in an appropriately labeled container that corresponds with the completed Medication Authorization form. Over the counter medications must be in the original nonprescription container.

All medicine must be picked up at the end of the school year by a parent/guardian. Any medication not picked up within the given time frame will be discarded.

No student shall give to or receive from another student any medication, either prescribed or over the counter.  Any such exchanges may be considered a serious offense and may result in suspension.

Medical Procedures

Students with special health care needs may require medical procedures during school hours.  The school nurse will develop a healthcare plan for the student in collaboration with the family, student, and physician.  Specialized medical procedures require an Authorization for Treatment form completed by the student’s healthcare provider and signed by the student’s parent/guardian.  This form must be updated at the beginning of each year.


Vision and hearing screenings are conducted on students because of the obvious relationship learning. The school nurse will conduct vision screenings, make referrals, and follow-up with referrals as needed.

Special Health Conditions

If your child has a health condition that needs special assistance and or an emergency action plan at school, please contact the school nurse.  Examples of health conditions that the nurse needs to talk to parents about include diabetes, asthma, severe allergy, seizers, sickle cell disease, etc.  The nurse will work with the school staff to ensure your child’s special health.

For severe allergies, please print and fill out :

  1. “Authorization to give medication” (requires physician’s signature)
  2. “Allergy Information” sheet
  3. “Severe Allergy Care Plan” (to be completed by physician)
  4. “Contract to self-carry an epi pen” (if the student will be keeping the epi pen in their backpack instead of locked in the nurse’s office)

For asthma, please print and fill out:

  1. “Authorization to give medications” (requires physician’s signature)
  2. “Asthma action plan” ( to be completed by the physician)
  3. “Contract to self-carry an inhaler”
  4. “Nebulizer Treatment” (to be completed by the physician)

For diabetic, please print and fill out:

  1. Diabetic Record
  2. Diabetes Medical Management Plan (DMMP) (to be completed by the physician)

Once the nurse receives the request for a diabetic care plan, she will contact you to get a health care plan in place.

Request for Diabetes Care Plan

Asthma Plan

Severe Allergy Plan