Broken Bow Public Schools


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Health Services

Contact Information:

Terry Jepsen, School Nurse

Health Office 308-872-6441
Cell phone 308-215-0078
Monday - Friday 8 a.m. - 4 p.m.

Health Office Forms:

Student Asthma Action Card

Food Allergy Action Plan

Documentation of Varicella (Chickenpox) Disease

Refusal of Immunizations for Medical Reasons

Refusal of Immunizations for Religious Reasons

About Immunizations



In Nebraska, children can’t attend classes in public or private school until the school has written proof of their immunization status (Neb. Rev. Stat.  §§ 79-217 through 79-253).

To attend school, children in Nebraska are required to be immunized against the following diseases:

• Diphtheria, tetanus, and pertussis
• Polio
• Measles, mumps, and rubella
• Hepatitis B
• Varicella (chicken pox)

Each school in Nebraska is required to keep the immunization history of the students enrolled on file. In addition, schools are required to report information on student’s immunization status annually to the Nebraska Immunization Program.  School reporting is conducted on-line via survey, and the deadline is November 15 of each year.

The School Record Card

Violation of these requirements is a Class V misdemeanor.  Schools must report on students entering school for the first time (kindergarten or 1st grade); 7th graders; and all out-of-state transfer students (including foreign exchange students).

For complete information, please refer to Title 173 of the Nebraska Administrative Code, Chapter 3: Rules and Regulations Relating to School Health, Communicable Disease Control, and Physical Examination and Immunization Standards. Title 173 is available on the Internet:

Title 173 - Control of Communicable Disease - Ch.3

Title 173 - Control of Communicable Disease - Ch.4

School Reporting Survey

2015-2016 School Survey

2015-2016 School Survey 

Additional Information for Schools

Summary of the School Immunization Rules and Regulations 2015-2016 

Summary of the School Immunization Rules and Regulations (Spanish) 2015-2016



While there are exemptions to the immunization requirements, parents need to be aware that unvaccinated children are not the only ones at risk for contracting disease. When parents choose not to immunize, their decision affects every other child in the school as well as their own child. Many immunizations require multiple doses before a child builds up full immunity, and some children are not able to be vaccinated.  These vulnerable children depend upon “herd immunity” for protection.

What if You Don't Immunize Your Child?

Exemptions to the vaccination requirement include:


Students with exemptions on file may need to be excluded from school if there is an outbreak of a vaccine-preventable disease.


Varicella (Chickenpox)

If the student has not had the varicella (chickenpox) vaccine but has had the varicella (chickenpox) disease then a statement signed by a licensed medical physician, parent, or guardian must be submitted verifying the name of the student and the year in which he/she had the disease.

 Documentation of Varicella (Chicken Pox) Disease


Provisional Enrollment

Some immunizations call for multiple doses of vaccine. For students who have not completed all doses required, state statute allows them to be provisionally enrolled in school if they have received at least one dose of each of the required vaccines prior to enrollment and continue to get the remaining shots as rapidly as is medically feasible.


This means that school staff will need to track progress toward the completion of the required immunizations. Vaccine series do not need to be restarted if the child has a documented immunization record, even if it has been a long time since the last dose, just have the child finish the series.


Contact Information
Immunization Program
PO Box 95026
Lincoln NE, 68509-5026
Fax: 402-471-6426



Sports/School Physicals 

The state of Nebraska has the following physical examination standards for students enrolled in schools in Nebraska. Broken Bow Public Schools strongly encourages all students to have the required physical examinations so that any health concerns can be diagnosed and treated appropriately in order for students to do their best in school. However, the law also states that a parent or guardian can refuse a physical examination in which a Refusal of Physical Examination formmust be signed and turned in to the school.

PHYSICAL EXAMINATION STANDARDS:  A printed or typewritten form signed by a licensed physician, physician assistant, or nurse practitioner indicating that a physical examination was administered on a specific date within the previous six (6) month period on a specifically named individual shall constitute sufficient evidence of a physical examination. by a qualified physician within six (6) months prior to the entrance of a child into the beginner grade and the seventh grade. A physical exam is also required in the case of a transfer from out of state to any other grade of the local school. As a substitute for such evidence of a physical, an objection in writing to a physicial examination of such child signed and dated by a parent or guardian of such child may be submitted to the local school.

REMINDER:  You will not be able to practice or participate in any sports until your physical examination is completed and turned in to the school. The local clinics have asked that you please try to get your school/sports physicals scheduled and completed prior to August 1. Click on the link below to find contact information for the local clinics.

Community Health Services 

To obtain a list of health services and providers see:

Health in the News

Here is a reminder of why children should never be left in a car unattended, especially when we are experiencing warm, even hot, temperatures.

An article on the dangers of energy drinks – these seem to becoming more and more popular with children, youth and adults but can pose some dangers, too.

Here is a website from U.S. Department of Health and Human Services for health related issues.

E-mail Article