Skip Navigation
Picture of Mrs. Naccarato

Clara Naccarato, RN

Direct line:

Main number:


email address:


Welcome to the MIS Clinic.  My name is Clara Naccarato. I attended The University of Texas Health Science Center and graduated in 1977 with a Bachelor of Science in Nursing (BSN).  I was an OB-Gyn nurse for 24 years before joining the MIS staff in 2001.  I was at SCE for a year and moved to MES in 2018.  I really love working with your children.

I have lived in Montgomery since my marriage to Tim in 1983.  We have a son, Neal, a young adult.  I also have an unofficially adopted daughter who has graced me with a granddaughter, one of the loves of my life. 

Please do not hesitate to contact me with any health or club questions throughout the year at 936.276.4709 or  I am here for our parents as well as your children.


sick girlStudents 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 (i.e. two or more loose stools per day for two days)
  • Fainting, seizure, or general signs of listlessness
  • Communicable disease

Students will be re-admitted after being fever-free for 24 hours without fever reducing medications. 
Students with vomiting/diarrhea must be symptom fee for 24 hours before retuning to school. 
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. All nits need to be removed before your child returns to school.
  3. Check for nits daily for the next 10-14 days, Repeat treatment as directed by product information.
  4. Put on clean clothes.Clothing, bedding and cloth toys can be disinfected by machine washing or drying using hot cycles.
  5. Dry cleaning, or storing articles in plastic bags for 10 days 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.

cartoon pillsMontgomery ISD Medication Policy

Prescription drugs and Non-prescription drugs:

The school must receive an authorization to administer medication form available at the clinic or on our web site. 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.

Our Mission

Montgomery Independent School District, with an unyielding commitment to excellence, will provide a premier academic program that recognizes the unique potential of each student and integrates the intellectual, social, cultural and physical aspects of learning.  This program will empower each student to become an eager lifelong learner committed to academic excellence, integrity, responsible citizenship and service to others.