Elementary Campus

• Contact your healthcare provider or personal clinic to schedule vaccinations.
• Check to see if you qualify for free or low-cost vaccinations through public programs.
• Learn more about Anoka County Immunization Clinics by visiting their website.

Students are not required to get an immunization if they have a medical contraindication, a documented history of the disease, or laboratory evidence of immunity. To obtain a medical exemption, a licensed physician, nurse practitioner, or physician assistant must complete and sign the Medical Exemption Form.

Students are not required to receive an immunization that conflicts with the conscientiously held beliefs of their parent or legal guardian. However, please note that not following recommended vaccinations may endanger your child's health and others'. In the event of a disease outbreak, schools might exclude unvaccinated students to protect the wider community. To request a conscientious exemption, a parent or guardian must complete and sign the Non-Medical Exemption Form and have it notarized, specifying the vaccines being declined.

Use the chart below as a guide to determine which vaccines are required for enrollment in child care, early childhood programs, and school. Find your child’s age or grade level, then check the chart to see if they have received the number of doses listed by the X's under each required vaccine. Click here to view the full chart and detailed information from the Minnesota Department of Health.

OTC medications (e.g., antihistamines, pain relievers) may be given at school with written parent/guardian permission and instructions on the Authorization for Administration of Over-the-Counter Medication Form.

• Medications must be supplied by the parent/guardian in the original container with the manufacturer’s label intact.
• PACT Charter School does not provide or stock any OTC medications for students or staff.

Prescription medications, whether taken daily or "as needed,” require written authorization from both a licensed healthcare provider and the parent/guardian, using the Authorization for Administration of Prescription Medication Form.

Short-term prescriptions (e.g., a 1-14 day course of antibiotics) may be administered with parent/guardian authorization only, along with specific instructions.

All prescription medications must be provided in a current pharmacy-labeled container. Upon request, pharmacies can provide a duplicate labeled container for school use.

The pharmacy label must include:

• Student’s name
• Medication name, strength, and dosage
• Dispensing date and directions for use
• Prescribing provider’s name
• Pharmacy name, address, and phone number

Some students may be permitted to carry and self-administer medication during the school day. This applies to emergency medications or, depending on the student’s age and needs, other approved medications—but only if the following conditions are met:

• An Authorization for Administration of Prescription Medication Form is on file with both licensed prescriber orders and parent/guardian permission.
• The plan has been reviewed and approved by the school nurse.

Per Minnesota Statute 121A.222, secondary students may carry and use nonprescription pain relievers (e.g., acetaminophen or NSAIDs) if:

• The school receives written parent/guardian authorization each school year.
• The medication is used according to the label directions.

The school reserves the right to revoke self-carry privileges if misuse is determined.

Note: Medications regulated by the Federal Narcotics Act (e.g., Ritalin, Adderall) must be administered in the school health office only.

Students with life-threatening allergies may carry their emergency medication, such as an epinephrine auto-injector, during the school day. For added safety, families are encouraged to provide a backup dose to be stored in the school health office. 

To self-carry emergency allergy medication: 

• An Authorization for Administration of Prescription Medication Form must be completed by the parent or guardian.
• Licensed healthcare provider orders are required, indicating the need and permission to self-carry. The plan must be reviewed and approved by the school nurse.

Students in grades 6-12 may self-carry their asthma inhaler if the following criteria are met:

• An Asthma Action Plan, signed by a licensed prescriber, authorizes self-carry.
• Parent/guardian permission is provided.
• The student completes an assessment with the licensed school nurse.
• The school nurse grants final approval.

For safety, a backup inhaler should also be kept in the school health office.

Students always have access to their inhaler under the supervision of health staff in the health office. Many students may not need to carry it to have quick access.

Any changes to medication, including dosage adjustments, must have written approval from both the licensed prescriber and the parent or guardian before they are made.

Discontinued medications will be returned to the parent or guardian upon request or disposed of at the end of the school year. Controlled substances cannot be sent home with students and must be picked up in person by a parent or guardian.

At the end of the school year, unused medications will be returned to the parent/guardian upon request. Some medications, such as over-the-counter medicines, inhalers, and emergency allergy medications, may be sent home with students during the last days of school unless the parent/guardian prefers to pick them up in person.

We strongly encourage parents/guardians to pick up medications before the last day of school.

Controlled substances and other prescription medications will not be sent home with students and must be collected by an adult.

Any medications left at school after the last day will be safely destroyed.

For the new school year, families must submit new authorization forms and provide current, unexpired medications.

• Student Immunization Form
• Authorization for Administration of Prescription Medication 
• Authorization for Administration of Over-the-Counter Medication

• 513 - Protection and Privacy of Pupil Records
• 516 - Student Medication and Telehealth and Overdose Medication
• 530 - Wellness Policy
• 534 - Attendance Policy
• 534R - Compulsory Attendance Regulations
• 535 - Concussion Management Policy
• 538 - Chemical Use & Abuse Policy

• Immunization Information
• Influenza in Schools
• Pertussis in Schools
• Chickenpox (Varicella)
• Sports Injuries
• Health-Related Resources for Schools
• Anoka County Public Health Services
• Anoka County Immunization Information