Health Services

Table of Contents


The Piedmont Unified School District Health Services Department is responsible for the health needs of the students in the district. PUSD has School Nurses who serve all of the students.

A School Nurse is a licensed Registered Nurse with a bachelor’s degree and current school nurse credential. School Nurses are uniquely qualified in the preventive health, health assessment and referral procedures for students within the school setting. They are in the position to strengthen and facilitate the educational process by improving and protecting the health status of children.

Parents can help in the success of their child by communicating with the School Nurse any health related barriers, which may affect their child’s ability to learn. By identifying health- related barriers to learning and offering assistance in the removal or modification of these barriers, students can perform to the best of their ability. Often times, this is accomplished by working together with the student, their family, physician, teachers, and the school support staff.

School Nurses

Joan Edelstein

Joan Edelstein, MSN, DrPH, RN, has extensive experience as a clinician and educator in maternal/child health as well as community health. She was a Professor of Nursing for 22 years at San Jose State University, received her MSN in Pediatric Nursing from Yale University, and her DrPH in Maternal/Child Health at UC Berkeley School of Public Health. Joan worked for the Alameda County Public Health Department in a jointly funded position with the Oakland Unified School District as Health Services Coordinator, successfully implementing model policies to support student and staff health and collaborating with the Health Department in raising immunization rates to over 90% district wide. Joan also worked with the California School Boards Association on a grant through The California Endowment where she co-founded the California School Environmental Health and Asthma Collaborative. She is committed to providing optimal services and resources to students, families, staff, and the community


School Enrollment

Enrollment takes place twice each year, once in March prior to the start of the next school year, and once in early August before school begins. In March, parents should register their child at the school serving the zone in which the student lives. In August, parents/guardians must register their child for attendance at any of the elementary schools. Notices announcing the actual enrollment dates are posted in the local newspapers – The Piedmont Post and The Piedmonter. Children should not accompany parents/guardians for registration.

Parents are required to bring:

  • Birth certificate
  • Proof of residency as described here.
  • Immunization records – California law requires that children be excluded from school until this information is on record in the public school files.
    • Immunization records will be reviewed by the District Nurse.  If there are any required immunizations missing, the District Nurse will contact families prior to the first day of school.  Students will not be able to attend school until all immunization requirements are documented as up to date.


State law and district policy require students to be immunized for school entry in order to prevent the spread of communicable diseases (Health and Safety Code 120325-120380). Before your student may begin school, immunization records showing the student is up to date must be submitted and reviewed by the school nurse.  For entry into 7th grade and when your student reaches age 13, additional requirements for Tdap and Varicella (chickenpox) are necessary.

SB 277 has eliminated the Personal Belief Exemption (PBE) so that incoming students and continuing students reaching 7th grade may no longer submit a PBE to be exempt from immunization requirements. If your student is medically unable to receive immunizations, a medical exemption, signed by a physician or D.O., is acceptable. Continuing students who already have a PBE on file are grandfathered in.

Information on immunization requirements and current law may be found at You may find the immunization rates of incoming Kindergarten students and 7th grade students at your school here.


Sick Child

Please do not send your child to school if s/he has any of the following symptoms:

  1. A fever over 100 degrees (38 Celsius). Keep your child home for 24 hours after a fever is below 100 without the aid of medication (such as Tylenol or Advil)

  2. Eyes that are red, swollen, crusted or draining

  3. Untreated, draining ears or severe earache

  4. Diarrhea

  5. Nausea or vomiting (if your child has vomited within 24 hours of the start of school, DO NOT send to school)

  6. Severe sore throat

  7. Skin rashes of unknown origin or contagious rash e.g., chicken pox*

*Note: Students with such rashes require a clearance from a health care provider to return to school.

If a student is at school with any of the above, the parent/guardian will be called to pick up the student. Under certain circumstances, the parent may be asked to consult a healthcare provider and provide a written note from the provider indicating the student may return to school.

Health Conditions

Students with chronic health conditions such as asthma, diabetes, food allergies may need accommodations as provided in Section 504 of the Rehabilitation Act of 1973, which requires the school district to provide a free appropriate public education (FAPE) to each student with a disability in the district. These accommodations are referred to as a 504 Plan in order to prevent discrimination based on a disability. This is separate from an Individualized Education Plan (IEP) for students who qualify for Special Education services. The intent of Section 504 is to provide equal access to educational programs, services, and activities.

Students who qualify for a 504 Plan are those who have a physical or mental impairment that substantially limits one or more major life activities, have a record of the impairment, and the impairment is not temporary. Disability under Section 504 is broadly defined and may include such life activities as breathing, eating, communicating. The district makes every effort to be sure your student is appropriately accommodated in order to receive an education. For conditions which may affect many students, the district may have a Board Policy outlining when and how to address the health and safety needs of those students. Separate listings may be found for conditions such as food allergies and diabetes.

Federal guidelines for Section 504 Plans may be found here.

Allergies and Anaphylaxis

Here is the district policy for food allergies.

Important Forms

Only material shown on this official Piedmont Unified School District web site is approved by the District. The District is not responsible for information placed on other web sites not established by the District that may relate to our schools or students.