SBHC Administrative Toolkits

Starting a School Based Health Center in West Virginia:

ADMINISTRATIVE:

• Sample MOA Health Center Agreement (Ms Word)

• Sample Memorandum of Understanding (Adobe pdf)

• Suggested Administrative Policies

• Sample Confidentiality Statement (MS Word)

• Sample Faculty Information Letter (MS Word)

• Mission Statement Worksheets (MS Word)

• Sample Student Rights Letter (MS Word)

• Sample WV Medication Policy (MS Word)

PLANNING & START-UP TOOLS:

• Starting a SBHC in West Virginia: A How To Guide, May 2014

• NASBHC Fact sheet – benefits of SBHC (Adobe pdf)

• National Association of School Nurses joint statement SBHC’s (Adobe pdf)

• Needs Assessment for Parents & Students (MS Word)

• Needs Assessment for Teachers (MS Word)

• Advisory Committee Presentation (MS Power Point)

• School Board Presentation (MS Power Point)

CONSENT FORMS:

• Sample Consent & Enrollment Form (MS Word)

• Sample Annual Student Information Update Form (MS Word)

MARKETING TOOLS:

• Enrollment Strategy (MS word)

• Sample Letter to Parent (MS Word)

• Sample Opening Press Release (MS Word)

• Sample Principal To Parent Letter (MS Word)

• Sample SBHC Announcement