Clip art of diverse children

Welcome to the Health Room at Lettie Marshall Dent Elementary School!

My name is Catie Bonner and I am so excited to be returning to Lettie Dent as your School Nurse. I am here to assist with your child’s health and wellness needs. I care for children with sudden illness and chronic illness along with first aid for accidents and injuries while at school. I also provide vision and hearing screenings, manage disease control and prevention, perform health counseling, plan for accident prevention and provide health education.

I am here to assist you and your child to make the most of his or her educational experience.

If there is something I can do for you or your family, please feel free to contact me 301-472-4500 ext-3 or you can click the blue email address to contact me that way:

School Nurse Brochure

Let's Stay Heathly

Hand washing is the number one way to stop the spread of disease. Twenty seconds of soap and water scrubbing before meals and after bathroom breaks is a great way to start this healthy habit. Encourage this practice at home.

Immunization requirements 

The School Nurse reviews immunization records, which must be in accordance with Maryland Department of Health and Mental Hygiene. Students with incomplete immunizations must have proof of an appointment date for needed immunizations no later than 20 calendar days from the date of entrance.

Preschool/Pre-Kindergarten are required to have: 

  • 4 DPT (diphtheria)
  • 3 Polio
  • 1 MMR (measles, mumps, rubella) after 12 months of age/first birthday
  • 1 Varicella (Chickenpox) after 12 months of age/first birthday 
     or proof of disease (physician documented) 
  • 3 Hepatitis B
  •  Hib – one dose after 12 months of age/first birthday
  • 1 Pneumococcal Conjugate


Beginning in the 2017-2018 school year, there were new immunization requirements for children who will be turning five years old in the Pre-Kindergarten school year.

Two doses of Measles, Mumps, and Rubella (MMR) vaccine are required for children 60 months  (5 years) of age or proof of an appointment is required by the 5th birthday in order for children to remain in school.

  • The appointment date must be within 20 calendar days of their 5th birthday. If the student is unable to provide documentation of the second MMR (vaccine can be received at age 4), or provide documentation of an appointment to receive the second MMR, the student must be excluded from school.
  • If there is a need for an appointment, proof of the immunization received must be provided the day after the scheduled appointment to avoid exclusion from school.

These new requirements are in addition to the existing school immunization requirements.

According to Maryland School Immunization Regulations (COMAR 10.06.04), to be allowed in school, students must be immunized according to the Maryland Recommended Childhood Immunization Schedule. Please work with your child’s physician and school nurse to get his/her second MMR at age five if in Pre-Kindergarten. If you have questions about immunizations that are required for school, please contact your school nurse or physician.

Required vaccinations for grades K-5 include:

  • 4 DPT (diphtheria)
  • 3 Polio
  • 2 MMR (measles, mumps, rubella)   ( after 12 months of age/first birthday )
  • 2 Varicella (Chickenpox)   after 12 months of age/first birthday or proof of disease (physician documented)
  • 3 Hepatitis B 

Students with incomplete immunizations must have proof of an appointment date for needed immunizations no later than 20 calendar days from the date of entrance.

Students with incomplete immunizations must have proof of an appointment date for needed immunizations no later than 20 calendar days from the date of entrance.

Immunization Certification Form

School Physical and Lead Form

In order for your child to enter a Maryland public school for the first time, a physical examination by a physician or certified nurse practitioner must be completed either nine months prior to entering the public school or six months after entering the system.

Physical Examination Form

Maryland DHMH Blood Lead Testing Certificate

Medication Administration

Medications cannot be administered by the school nurse without the proper documentation. Prescription medications require physician's orders which can be obtained by using the Parent(s)/Legal Guardian(s) and physician/prescriber authorization-medical orders form (PS 109).  Over-the-counter medications are given in accordance with guidelines for prescription medications however, with written documentation that specifically includes the students name, the name of the medication, the dose to be given, the route and time to be given the school nurse may administer, 2 doses of an over-the-counter medication. 

Students may not transport medications on the bus. Medications (including cough drops) must be brought to the school by a parent or designated adult.

Guidelines for Parents, RX Medication

Guidelines for Parents, OTC Medication

Parents, Legal Guardians and Physican Prescriber Authorization - Medication Orders

Parents, Legal Guardians and Physican Prescriber Authorization - Medical Procedures

OTC Medication Authorization


Flu News

 Flu Clinic, October 15, 2018

It's sometimes hard to tell the difference between the cold and the flu.

 Image from

 Cold or Flu

Keeping Your Child Well

Your child will perform better in school if he/she has good attendance. To keep your child well:

  • Ensure adequate exercise and rest periods.
  • Provide proper nutrition including a good breakfast.
  • Stress frequent hand washing especially before meals and after using the restroom.
  • Encourage good daily hygiene, including brushing teeth.
  • Review rules of safe play.

Sick today? What to do...

While school attendance is vital to your child’s education, a sick child belongs at home. Please review the Sick Day Guidelines below to assist you in making that decision.



Keep your child home until he or she has been fever free 24 hours without medication. Returning to school too soon may slow the recovery process and expose others to illness.

If your child does stay home, please make sure to send in a note upon his or her return or use the online absence reporting link on our main webpage. Please refer to the SMCPS Student Handbook for further information regarding the Student Attendance policy

If your child has been diagnosed with pink eye, strep throat, or impetigo, he or she may not return to school for at least 24 hours after the first dose of medication has been given.

Parent responsibilities:


  • report illnesses to the nurse and/or office when students are absent. There are some illnesses that are communicable that could affect other students and we would like to ensure that proper measures are being taken to prevent the spread of disease.
  • keep the nurse informed of any chronic health conditions and current treatments
  • keep the nurse informed of any special procedures your child may require or reasons you may want to be contacted when your child is in the health room
  • keep the nurse/office informed of updated contact numbers in case of emergencies


Chronic Health Conditions/Severe Allergies

Please alert your child's teacher and the school nurse of any health conditions that may impact your child's learning, daily activities, and safety at school. Written documentation of conditions is encouraged.


Student Health Information


Asthma Procedure Information

Emergency Action Plan - Asthma

Asthma Medication Action Plan


Allergy Information

Insect Allergy Emergency Action Plan

Food Allergy Emergency Action Plan

Allergy Emergency Action Plan

Allergy Emergency Action Plan Parent(s)/Legal Guaridan(s) and Physican/Prescriber Authorization - Medication Orders  

Diabetic Forms

Diabetes: Parent(s)/Legal Guardian(s) Responsibilities Fact Sheet 

Maryland Diabetes Medical Management Plan-Health Care Provider Order Form.pd 

Parent/Legal Guardian Diabetes Questionnaire -  

Emergency Action Plan - Hypoglycemia (Low Blood Sugar)

Emergency Action Plan – Hyperglycemia (High Blood Sugar)

Diabetes Emergency Action for Field Trips or School Sponsored Activities that Occur Outside of the Instructional Day  

Individualized School Health Equipment and Supplies List For Management of Diabetes at School 

Assessment of Diabetes Self-Management Skills and Authorization 


Other Resources

St. Mary's County Health Department

Maryland State Department of Health and Mental Hygiene

Center for Disease Control and Prevention