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Educational Services Nurse’s Note: Incoming 9th Graders


For parents of incoming 9th graders

Immunizations: Recent laws have changed the immunization requirements for your child to attend school. The following are the current requirements for attendance at a California school:

  • Diphtheria, Tetanus, and Pertussis (DTaP, DTP, Tdap, or Td) — 5 doses
    (4 doses OK if one was given on or after 4th birthday. 3 doses OK if one was given on or after 7th birthday.)
    For 7th-12th graders, at least 1 dose of pertussis-containing vaccine is required on or after 7th birthday.
  • Polio (OPV or IPV) — 4 doses
    (3 doses OK if one was given on or after 4th birthday)
  • Hepatitis B — 3 doses
  • Measles, Mumps, and Rubella (MMR) — 2 doses
    (Both given on or after 1st birthday)
  • Varicella (Chickenpox) — 2 doses

For more information on vaccines for school, see

As of January 1, 2021, medical exemptions for vaccines may only be issued through the California Immunization Registry – Medical Exemption website (CAIR-MEby physicians licensed in CaliforniaThe parent / guardian must initiate the process. For details, see

If your child has a medical condition or physical limitation for which school accommodations need to be made or needs to take medication at school, please ask your child’s California licensed provider / prescriber for the necessary documentation for our health staff to assist your child. We provide forms if the provider prefers to fill out a form. See links on this page. Note: new orders are needed for each school year.

Please provide the forms before the first day of school along with any medication or health device your child may need at school.

School Health Services Team

Margaret McLean MSN, RN, PHN
District Nurse
Phone: (760) 291-3007
Fax: (760) 741-1846

  • START Program
  • IEP Health Reports
  • 504
  • Staff Training (Medical team participant procedures & conditions)
  • Medical Procedure Compliance
  • IHP (Classroom health care plans)
  • Guidance for home hospital resource

School Health Services Staff

Escondido High School

Lisa Olson RN
Site Nurse
Phone: (760) 291-4080
Fax: (760) 741-1935

Health Office Clerk
Marissa Glaser
Phone: (760) 291-4081

Orange Glen High School

Leticia Gonzalez LVN
Site Nurse
Phone: (760) 291-5080
Fax: (760) 839-9270

Cynthia Martinez
Health Office Clerk
Phone: (760) 291-5081

San Pasqual High School

Caroline Akers, RN
Site Nurse
Phone: (760) 291-6080
Fax: (760) 745-1834

Health Office Clerk
Cindy Rippee

Phone: (760) 291-6081

Del Lago Academy

Lisa Courduff LVN
Site Nurse
Phone: (760) 291-2581
Fax: (760) 746-0453

Valley High School

Mon & Wed 8 – 12 pm
Phone: x2253