614 E Adams St
Jackson, MO 63755
Phone: (573) 243-9501Fax: (573) 243-9503

Important Forms

Immunization Requirements:

IMMUNIZATION RECORDS

Medication Authorization:

MEDICATION AUTHORIZATION FORM

Action Plans:

ALLERGY ACTION PLAN

ASTHMA ACTION PLAN

BLEEDING DISORDER ACTION PLAN

DIABETES ACTION PLAN

GASTROSTOMY ACTION PLAN

HYPOGLYCEMIA ACTION PLAN

SEIZURE QUESTIONNAIRE

SEIZURE ACTION PLAN

Other Forms:

STUDENT HEALTH HISTORY FORM

HEAD LICE

TREATMENT FOR HEAD LICE

Health Screening Schedule: 

  • Vision Screenings - Kindergarten (they do not have a comprehensive eye exam completed); 1st, 3rd, and 6th grades
  • Hearing Screenings - 1st, 3rd, and 5th grades 
  • Spinal Screenings - 6th and 8th grades for girls;9th grade for boys
  • Dental Screenings - PK-4th grade; offered at Back to School Orientations for 5th-12th grade (provided by Cape County Health Department)

Jackson R-2 School Nurses:

The Jackson R-2 School District does not discriminate on the basis of race, color, religion, sex, national origin, ethnicity, disability, age, or any other characteristic protected by law in its programs, activities or employment practices.