Key takeaways

Inform the school about your child’s health issues and medications to ensure they are prepared to manage medical situations.
Coordinate with the school to ensure your child’s medication is dispensed on schedule and by a responsible adult.
Make sure your child’s vaccinations are up-to-date as required by state laws for school attendance.
Prepare for allergies by discussing precautions with your child’s allergist and the school, ensuring access to necessary treatments like EpiPens.

The dreaded back-to-school melee is often a chaotic rush of gathering supplies and coordinating schedules. There is just so much to plan, buy, and schedule. For parents of children with health issues, there is an extra level of planning that goes into back-to-school preparations.

Nearly 20% of U.S. children take at least one prescription medication, according to a 2018 study published in the journal Pediatrics. Many take more than one. Whether or not the child takes the prescription while at school, parents have to coordinate with the school to help care for their child’s health.

If your child is returning to in-person school this academic year, here are five back-to-school health tips that can make it safer.

5 back-to-school health tips for parents

1. Be sure the school is aware of your child’s health issues and prescription medications.

Even if your child will not be taking their medications at school, the school nurse or another responsible official should be familiar with all of your child’s health needs. If a medical situation arises at school, this information will help them care for your child.

“Generally, you want the school to be informed about your child’s health,” says Ari Yares, Ph.D., a school psychologist and parent coach in Potomac, Maryland. “Since your child is in school for a large chunk of the day, the school is often in a prime place to monitor general health and look for side effects. In an emergency situation, you want the school to be able to fully inform emergency services about all parts of your child’s medical history.”

2. Ensure your child receives their medication on schedule.

If your little one needs to take a prescription during the school day, this can be a bit tricky to coordinate. How can you ensure that your child gets the right dose at the right time if you’re not there to give it?

Fortunately, most schools have protocols to handle this situation. Elaine Taylor-Klaus, the cofounder of ImpactADHD and founder of Sanity School, recommends that parents ask several questions, starting with, “Who will be dispensing the medication at school?”

“A parent should make sure that dispensing of medication is done by an adult who has agreed to accept the responsibility, and is not something that is randomly assigned,” says Taylor-Klaus. “If a school has a nurse, it is generally that person’s responsibility to dispense medication. If not, a parent should ask how it’s handled.”

She also advises that parents find out who the backup dispenser will be if the designated person is out for the day, and how the dosage will be dispensed. Most likely, the school will ask for a prescription bottle with clear dosage instructions on the label.

Finally, be sure there is a system in place to help your child remember to take the medication. An ideal situation would be a teacher, nurse, or another responsible adult reminding the child when it’s time to take the medication.

3. Get vaccinations up-to-date.

All states require children to receive vaccines in order to attend school unless they have a qualifying medical exemption. (Some states allow religious and philosophical exemptions, too.) These immunization laws often apply to both public and private schools.

Immunizations help protect kids from preventable diseases, and they help to keep the disease from spreading to others as well. Check with your pediatrician to find out if your child is up-to-date on all of their vaccinations. The shots are often available through state and local health departments as well as pharmacies. Click here to find a clinic near you.

RELATED: Vaccination statistics

4. Share your emergency contacts.

We all hope that our kids never experience a medical emergency at school. If they do, we certainly want to be notified as soon as possible. If the school can’t reach you in the event of an emergency, they need to know whom to contact.

Ask a trusted friend, neighbor, or family member if they are willing to be your child’s emergency contact. This person should live close to you and be reasonably likely to answer the phone during the school day.

But aside from that, the school also needs to know your medical provider and insurance information. Yes, it’s a pain to fill out all of those forms, but there is a good reason for it.

“It’s important to remember that the school serves as your child’s [guardian] when you and your emergency contacts can’t be reached,” Yares says. “You want them to have accurate information to share with paramedics and the emergency room in the event of an emergency. This should include a brief medical history, insurance information, and provider information. All of this will facilitate emergent care.”

5. Prepare for allergies.

If your child has severe allergies, ask your allergist what precautions you need to take, and then check with the school to find out their allergy protocol.

“It’s best to be sure that the classroom teacher or student has an EpiPen (if necessary), that it’s not expired, and that someone knows how to use it,” Taylor-Klaus says. “If the student moves to multiple classrooms, it’s probably best for the student to keep the EpiPen and for the teachers to all be informed.” In addition, it might help for the school nurse to have a prescription antihistamine available for emergencies.

If your child has environmental allergies to mold, chemicals, or something else, you might want to talk to your school administration about issues like classroom choices or chemicals used for cleaning. They may or may not have the resources to accommodate your needs, but good communication will help. If your school environment does include environmental triggers for your child’s allergies, you might also volunteer to help remove them.

RELATED: Allergy testing for kids

If your child has health concerns, you might need to put in a little extra work to prepare for the school year. Good communication and forethought are the keys to an effective school medical plan. Whether your child takes a prescription medication, has severe allergies, or has some other health concern, parents can coordinate with the school to help ensure a healthy school year.