Skip survey header

2020-21 School Health Services Resources

Thank you for your assistance in consistently sharing your data with the Division of Public Health related to health services provided in your district. Information is used to assist with local school health program development, to inform stakeholders in school health who work with student issues, and to describe school health services provided by school nurses across the state. Copies of past summary reports are available online here.

Most questions related to report forms should be addressed through review of the related Definitions and Directions. Any remaining questions may be directed to Ann.Nichols@dhhs.nc.gov. Assistance in completing the forms may be obtained from your Regional School Health Nurse Consultant.

A preparation worksheet is provided for each report form. Please download the worksheets and mark the appropriate response before beginning the online report survey. For Staffing Form A and Screening Form B, please download the Excel spreadsheet, enter your local information, and save it to your computer. Attaching the document from a cloud-based account, i.e. Google Drive, is not an allowable function. You will be asked to upload the Excel spreadsheet once you begin the online report survey for Staffing Form A and Screening Form B just as you would add an attachment to an email message. You will receive an email confirmation within 24 hours if your report was successfully submitted. Check your spam or junk folders before contacting your regional consultant.

Please review and share the Definitions and Directions with ALL school nurses before starting the data collection process this year. The Definitions and Directions documents follow each report. A School Health Data Workbook is also available for nurses to collect and tally data by school. This workbook is located at the bottom of the page under Additional Resources. Use of this workbook is optional but if implemented, please ensure data collection entries begin at the start of each school year. Please contact your regional consultant for assistance or further clarification as needed.

 
Section One
Due no later than December 1, 2020; any revisions are due no later than June 20, 2021.

Thank you for completing this survey each school year. The worksheets and forms are in Word® and in Excel® programs, formats that should make it easy for you to complete. Open each document and then save it to your computer as it is titled with your district name added to the beginning of the file name. You can begin using these documents at any time. The forms are available on the Annual School Health Services Report webpage. This report is expected from all public-school districts (LEAs) in North Carolina. A public-school district (LEA) completing this form should not count data from a charter school in their county. 

Most of the reporting form is self-explanatory. Changes since last year are noted and will also be reviewed through the School Health Nurse Consultants. The definitions that follow are to assist you in collecting and reporting the data accurately. In some questions, the choices are listed in a format that asks you to choose one or more or fill in the blank if “other” is chosen. Please contact your regional consultant for assistance or further clarification as needed.

We will provide reminders in November and in May. Contact your Regional School Health Nurse Consultant if your school year ends after June 20, 2021 and a revision to Section One will be necessary due to change in the total number of nursing positions/hours.

Section One Revisions (due June 20, 2021) should ONLY be submitted if you have a change in total staffing positions or hours. This applies to school nurses who serve school children within the school health program full-time or part-time.


Click here for the Section One Definitions and Directions

Click here to download the blank Section One worksheet

Click here to complete the online Section One survey


*Note: Starting on page 2 of the online Section One survey, you will be able to save your work and continue at a later time by clicking on the red Save and Continue bar at the top of the page.

2020-21 COVID-19 Supplemental Survey, December Report
Due no later than December 1, 2020.

As the healthcare professional in the school, COVID-19 mitigation and response will be a priority focus of school nurse activities during this school year. These activities may limit the ability to implement other routine school health service programming and impact the services data reported for the 2020-2021 school year. School nurses have a prime role in supporting school efforts to minimize exposure to communicable diseases and manage those who might be contagious while in the school building. Please complete the supplemental report so that we may better understand and be able to share, the COVID-19 related work involvement of NC school nurses.

Click here for the 2020-21 COVID-19 Supplemental Survey worksheet (December)

Click here to complete the online 2020-21 COVID-19 Supplemental Survey (December)

Staffing Form A
Due no later than December 1, 2020; Revisions are due no later than June 20, 2021. 
Click on the links below to access the document. Please save the files to your computer before typing on them.

Click here for the Staffing Form A Definitions and Directions

Click here for the Staffing Form A Excel Sheet
– Download the Staffing Form A spreadsheet provided and save it to your computer. After entering your local information, you must re-save it to your computer keeping the document title (file name) intact and inserting your district name at the beginning of the title.  
Example: Burke_202021StaffingFormA.xlsx

After compiling your responses on the spreadsheet and saving to your computer according to the instructions above, you will use the link below to ‘upload’ your spreadsheet and submit the report form electronically:

Click here to electronically submit Staffing Form A

Staffing Form A revisions should ONLY be submitted if you have a change in total staffing positions or hours since last submission.
Section Two
Due no later than June 20, 2021.
Click on the links below to access the document. Please save the files to your computer before typing on them.

Click here for the Section Two Definitions and Directions

Click here for the Section Two Worksheet 
– Please download this document and save it to your computer. Gather your local data and place your responses on the worksheet to assist when entering the information in the report survey. 

After compiling responses on the worksheet, you can enter the report survey to submit your responses electronically. It is important to have your responses prior to beginning the report survey.  

Click here to complete the online Section Two survey


*Note: Starting on page 2 of the online Section Two survey, you will be able to save your work and continue at a later time by clicking on the red Save and Continue bar at the top of the page.

2020-21 COVID-19 Supplemental Survey, June Report
Due no later than June 20, 2021.

As the healthcare professional in the school, COVID-19 mitigation and response will be a priority focus of school nurse activities during this school year. These activities may limit the ability to implement other routine school health service programming and impact the services data reported for the 2020-2021 school year. School nurses have a prime role in supporting school efforts to minimize exposure to communicable diseases and manage those who might be contagious while in the school building. Please complete the supplemental report so that we may better understand and be able to share, the COVID-19 related work involvement of NC school nurses.


Click here for the 2020-21 COVID-19 Supplemental Survey worksheet (June)

Click here to complete the online 2020-21 COVID-19 Supplemental Survey (June)
Screening Form B
Due no later than June 20, 2021.
Click on the links below to access the document. Please save the files to your computer before typing on them.

Click here for the Screening Results Form B Definitions and Directions


Click here for the Screening Results Form B Excel worksheet
– Download the Screening Form B spreadsheet provided and save it to your computer. After entering your local information, you must re-save it to your computer keeping the document title (file name) intact and inserting your district name at the beginning of the title.
Example: Burke_202021ScreeningFormB.xlsx

After compiling responses to the spreadsheet and saving it to your computer according to the instructions above, you will use this link to ‘upload’ your spreadsheet and submit the report form electronically:

Click here to electronically submit Screening Form B
Additional Resources

Click here for the Identified Health Conditions Excel Worksheet
- No due date--not required to be turned in. For your convenience, this worksheet is provided to assist when calculating the number of chronic health conditions.

Click here for the School Health Data Workbook
- No due date. This excel workbook can be used to collect and tally most individual school nurse data for Section Two. Each type of information is on a separate tab at the bottom.

Click here for the School Health Case Management Tracking Log
- No due date. This excel workbook can be used to collect and tally school nurse data related to case management outcomes for Section Two. Each chronic condition is on a separate tab at the bottom.