April James, RN

Oak Hill Junior High

Office: 936-276-4309

Fax: 936-276-4301






Immunizations Required for School:


Health Clinics that offer vaccinations:
Montgomery CO Health Department
Address: 701 East Davis, Suite A
Conroe, TX 77301
Ph. (936)525-2800

Espress Family Clinic:
936-463-8104  or 281-742-0624
No appointment necessary, Immunizations/Flu Vaccines $10, School Physicals $30


Montgomery ISD Medication Policy


This year the clinic WILL NOT be accepting over the counter medications that could mask /treat symptoms of COVID-19 such as cough, shortness of breath, headache, sore throat and body aches.  These medications include Tylenol, ibuprofen, cough drops, cough and cold medications and allergy medications not part of an allergy plan.  If your student needs one of these medications, I must have a doctor’s note and the condition for which to give the medication specified.  At this time, nebulized medications WILL NOT be administered.

Prescription drugs and Non-prescription drugs:

The school must receive an authorization to administer medication form before a medication can be given. The form is available in the clinic or on our website. This form must be signed by the parent/guardian. Any medication being taken for >14 consecutive days, must also have the physician’s signature. In addition, the following must occur:

  1. The medicine must be in the original container and not expired.
  2. All medicine must be brought to and removed from the clinic by the parent/guardian, not the student.
  3. For prescription medicine, the label must contain the student’s name, name of medication, directions for use and date.
  4. Any changes to a prescription regimen require a new medication label.
  5. For over the counter medicine, such as Advil, we can only give the recommended dosage on the bottle; any amount exceeding that requires a physician’s approval in writing.
  6. The following conditions require additional paperwork: Diabetes, Asthma, Food allergies, severe allergies requiring emergency medication and Seizure Disorders.
  7. Please only bring small quantities of over the counter (OTC) medicine due to limited space available.
  8. Medicine cannot be stored during the summer months. Please make arrangements to pick up any medication left in the clinic prior to the end of the school year. Also, each school must have a new and updated Medication Authorization form every year.

Students with the following conditions shall be excluded from school:

  • Oral temperature of 100 degrees F or higher
  • Elevated (or possibly a normal) temperature combined with any of the following: a severe cold with yellow-green nasal discharge, excessive coughing, swollen glands, or skin rash
  • Eyes inflamed with purulent discharge
  • Drainage from ear(s)
  • Head lice (must be lice-free with continued progress toward removing nits to come back to school)
  • Skin lesions (i.e. impetigo, ringworm and scabies) until under treatment
  • Vomiting
  • Diarrhea
  • Fainting, seizure, or general signs of listlessness
  • Communicable disease

Students will be re-admitted after being vomiting, diarrhea or fever-free for 24 hours without the help of medications. Students with some conditions may return to school after being treated for 24 hours with an antibiotic. Call the school nurse for specific readmission guidelines.


Parent Information: Lice


MISD has a NO Live Lice Policy concerning head lice.  A child that is found to have live head lice will be sent home.  Please do Not send a child to school that you know has live lice.  The child is not to return to school until they have been properly treated and all live lice are gone from the hair.  After treatment is done at home, the child must return to the school nurse for inspection BEFORE returning to the class room.  If live lice are found, the student will be sent back home.  If nits (eggs) are found the child will be monitored by the school nurse.  Please retreat your child one week after the first treatment as any missed eggs may hatch and causing the problem to start over again.


What are Head Lice?

Lice are parasites, little insects that live only on human scalp and hair.  Away from the scalp, lice can survive only 1 – 2 days.  Head lice are harmless, however may cause extreme itching.  The female louse attaches approximately 60 – 150 eggs (nits) to the hair shaft near the scalp with a cement-like substance.  The average life span of each louse if untreated is 30 days.

How are they spread?

Head lice are spread by direct contact with an infested person or indirectly by sharing clothing, bedding, combs, brushes, upholstered furniture in home and car etc.  Lice cannot jump or fly; they are only capable of crawling.  Lice and nits are responsible for transmission from one person to another.

Where are they found?

Nits (eggs) are most commonly detected at the crown of the head, behind the ears and at the nap of the neck.  Nits firmly attach to the hair shaft, close to the scalp and are very difficult to remove due to the cement like substance they produce.  Dandruff, hair sprays etc., are commonly seen during examination (careful attention needs to be made to avoid misdiagnosis due to the similarities in appearance).  Nits are difficult to remove from the hair shaft.  Dandruff is easily flaked away from the hair shaft. A bright light or sunlight helps to visualize the nits. 

Recommended Treatment:

  1. Use a medicated shampoo or cream rinse that your Health Care Provider recommends.Apply the solution following the directions and consult a physician before treating infants, pregnant or nursing women, or people with extensive cuts or scratches.
  2. In addition to using the medicated shampoo or cream rinse, you can also use a white vinegar and water rinse.A 50/50 solution has been found to loosen the nits and aid in their removal.After the treatment a fine tooth stainless, steel comb should be used to remove the nits, working from the scalp outward.
  3. Check for nits daily for the next 10-14 days, Repeat treatment as directed by product information.
  4. Put on clean clothes. Clothing, jackets, backpacks, bedding and cloth toys can be disinfected by machine washing or drying using hot cycles for at least 20 minutes.
  5. Dry cleaning, or storing articles in plastic bags for 48 hours is also effective.
  6. Disinfect combs and brushes by soaking in hot water for 10 minutes.You may choose to wash them with the chosen lice removal solution.
  7. All carpets, sofas, chairs and interior of cars must be vacuumed and the vacuum bag must be tied tightly and thrown away.
  8. Family members must be instructed on the importance of using only their own comb, brush, hat, coat, etc.

Additional Lice Resources:


Action Steps for Parents to Protect Your Child and Family from the Flu and other Contagious Illness this School Year

As you know, cold and flu season is upon us again.  We have had children absent from school with diagnosed cases of the flu as well as other contagious illness, (Strep throat and the good ole common cold among them).  Please read the following information and share with your children.    
 Symptoms of FLU                                                               Symptoms of the Common Cold

· Coughing and/or sore throat
·Runny or stuffy nose
·Headaches and/or body aches
·Sometimes vomiting/diarrhea esp. in children


  • Stuffy nose
  • Sneezing, sore throat
  • Hacking cough
  • Runny nose
  • Headaches
  • Sometimes earaches from congestion

THE DISTRICT POLICY STATES THAT YOUR CHILD MUST BE FEVER FREE FOR 24 HOURS (AND NOT ON FEVER REDUCERS) FOR 24 HOUR PERIOD AFTER RUNNING A TEMPERATURE OF 100.0 OR GREATER IN ORDER TO RETURN TO SCHOOL.  If your child is sick, it is important for them to stay home from school, rest, and drink plenty of fluids. If your child is truly sick, he/she cannot do his/her best at school and risks exposing others to the same illness.


  • Please take your child’s temperature if you think he/she has a fever.
  • Do not send your child to school if your child has vomited in the last 12 hours, is achy, and/or has a really bad cough and/or sore throat.
  • Do not send your child to school if your child has had a temp in the last 24 hours or been on fever reducers 24 hours after temperature.
  • YOU may bring medication for your child to the clinic, including cough drops, headache meds, etc. Your child may not bring medications to the school.


  • Get yours/your child’s flu shot (it’s not too late, but it does take 2 weeks to start working)
  • Please don’t share drinks, food, cell phones, etc. This is an excellent way to pass germs.
  • Wash, Wash, Wash….we can’t say this enough. This is the single most important thing you can do to prevent the spread of germs.Wash for a full 20 seconds (Happy Birthday song twice).If you cannot wash, please use Germ-X.The passing of germs can be reduced/stopped with this simple step.Cold and flu germs can live on porous surfaces like paper, books, and clothes for up to 12 hours.The viruses can live on nonporous surfaces like computers, cell phones, doorknobs, desks, pencils, remote controls, toys, fridge handles, etc for up to 2 days.Use anti-bacterial wipes or spray to help with the viruses on these surfaces.
  • Cover your mouth and nose with a tissue when sneezing or coughing and dispose of the tissue in a proper trash receptacle.If you don’t have a tissue, cough or sneeze into your elbow or shoulder; not into your hands. Wash your hands after using a tissue or use Germ-X.
  • Don’t touch your mouth, nose or eyes without washing your hands or using Germ-X.
  • Educate yourselves.  Visit the MISD website at www.misd.org and read about the flu information.  Also, you may check out www.cdc.gov.

Antiviral medication is generally available for the flu, but must be taken within the first 24-48 hours to be effective.  At this time of year, with the flu season so high, it may be difficult to find.


                           IS IT A COLD OR THE FLU?

Knowing the difference between a cold and the flu can speed up recovery:

SYMPTOMS                              …..OF A COLD                     …..OF THE FLU



Usually present. Higher than 100°F is associated with the flu



Moderate to severe




Body Aches, Pain


Usual; often severe

Fatigue, Weakness

Fairly mild

Moderate to severe

Runny/Stuffy nose






Sore Throat


Not Common

Chest Discomfort

Mild to Moderate

Often Severe


Hacking, Productive

(Mucus producing)


(non-mucus producing)




Pain relievers

Antiviral medications-

See your doctor


Wash your hands often with soap and water/Germ-X; Avoid close contact with anyone with a cold

Wash your hands often with soap and water/Germ-X;

Annual vaccination;

Antiviral medications-see your doctor


Sinus infection, Ear infection, Asthma, Bronchitis

Sinus infections, Bronchitis, Pneumonia; Can worsen chronic conditions; Can be life-threatening.

Complications more likely in the elderly, those with chronic conditions, young children and pregnant women

 This content is provided for informational purposes only and is not a substitute for professional medical advice, examination, diagnosis or treatment.  Always seek the advice of your physician or other qualified health professional before starting any new treatment of vigorous physical activity or making any changes to existing treatment or activities.  Do not delay seeking or disregard medical based on the content presented here. 

Domestic Violence and abuse is rising, especially during this time as families may not feel safe presenting at a hospital or have knowledge of the 24 clinic at MCHD.
Should you or someone you know suspect or experience any type of abuse, please contact your local police department and/or Texas Forensic Nurse Examiners for forensic nursing services & advocacy. Children and Adults can be seen at MCHD 24 hour clinic 1300 South Loop 336 West, Conroe, 77304.
Texas Forensic Nurse Examiners 24 hour number 281-306-6893 option 1
Montgomery County Sheriffs Office 936-760-5800
Conroe Police Department 936-522-3200
Montgomery County Constable's Office 281-364-4211
Shenandoah Police Department 281-367-8952