Welcome to Health Services

Health Services function as an integral part of the academic environment. The Marysville Health Service Team includes Registered Nurses and Health Room Assistants. The nurse provides expertise to identify, assess, plan, implement and evaluate the health needs of the student and community. Our team role is to provide a quality program of safe, effective, delivery of care and establish a balance promoting optimum health and wellness for educational success.

School Health Forms

Too Sick for School

We coordinate with the Snohomish Health District in protecting children from certain symptoms of communicable diseases. If your child has any of these symptoms, please keep them home, or make appropriate child care arrangements.

  • APPEARANCE, BEHAVIOR – unusually tired, pale, lack of appetite, difficult to wake, or irritable. This is sufficient reason to keep a child home from school.
  • EYES – red with thick green or yellow drainage may indicate a bacterial conjunctivitis.
  • FEVER – child should remain home with TEMPERATURE OF 100 DEGREES Fahrenheit or higher. Child must be fever free for 24 hours without fever reducing medicine. Greenish nose discharge, and/or chronic cough – should be seen by a health care provider.
  • SORE THROAT – especially with fever or rash. Children with possible strep throat should be seen by their provider.
  • DIARRHEA – watery stools in past 24 hour period especially if the child acts or looks ill.
  • VOMITING – within the past 24 hours.
  • RASH – body rash, especially with fever or itching.
  • EAR PAIN– student with drainage/pain/fever need to be seen by a health care provider. Student does not need to be excluded unless discomfort interrupts the learning process. Untreated ear infections can cause permanent hearing loss.
  • LICE – If your child has head lice please contact your health room to discuss treatment.
  • SCABIES – Children with scabies may be admitted back to school 24 hours after treatment begins.
  • ANTIBIOTICS –If your child has an illness that requires antibiotics, please check with your provider as to when the child may return to school.

Bringing a child to school with the above symptoms puts other children and staff at risk of getting sick. While we regret any inconvenience this may cause, in the long run this means  less illness and fewer lost workdays for parents.

Home Vs. Hospital 

The increase in flu hospitalizations is impacting local hospital and EMS services in Snohomish County. However, those generally in good health will recover without needing a visit to a healthcare provider.

Things to remember if you or a loved one are sick:

  • Please stay home
  • If you leave the house wear a facemask
  • Cover coughs and sneezes with a tissue or the sleeve of your elbow
  • Drink plenty of fluids and rest
  • Wash your hands frequently or use hand sanitizer
  • Do not return to work or school until your fever is gone for at least 24 hours without the use of fever-reducing medicine like acetaminophen (Tylenol) or ibuprofen (Motrin)

When to call your health care provider:

  • If you are pregnant
  • If you have a medical condition (cancer, blood disorder or chronic illnesses)
  • Flu-like symptoms improve but then return with fever and worse cough
  • Severe or persistent vomiting

Warning signs that may need urgent medical attention include:

  • Fast breathing or trouble breathing
  • Bluish skin color or lips (call 911 immediately)
  • Unable to drink or keep liquids down
  • Confusion or can’t wake up
  • Being so irritable that the child does not want to be held
  • Fever in an infant under 3 months old

Flu and Influenza

In general, schools only need to report outbreaks of illness - not individual sick children - to the Snohomish Health District. Defining what constitutes an outbreak will vary depending on the type of disease.

Snohomish County Influenza Surveillance Reports

Click HERE for more information and weekly reports from the Snohomish County Health District on flu activity in the County.

Snohomish County Health District

Information and updates about health related issues can be found at the Snohomish Health District website Snohomish Health District


Norovirus is a very contagious virus sometimes mistakenly called stomach flu. 

You can get norovirus from an infected person, contaminated food or water, or by touching contaminated surfaces.

Norovirus spreads easily and rapidly — especially in schools, child care settings, and assisted living facilities.

The Snohomish Health District follows up on cases of gastrointestinal illnesses like norovirus when they might be part of a larger outbreak. If you think you got sick after eating in a restaurant, from well water or another water supply, please the Health Department. 

Snohomish Health District also will send out letters to notify parents in the case of outbreaks in schools or child care settings.

Norovirus Symptoms

  • A sudden onset of illness, usually 24–48 hours after exposure
  • Vomiting and nausea
  • Diarrhea and stomach cramps
  • Headaches, chills, a low­grade fever, muscle aches, and tirednes
  • Symptoms lasting for 1 to 2 days
  • The virus can be serious, especially for young children or older adults.

Preventing the Spread of Norovirus

There are no specific drugs or vaccines to treat or prevent norovirus. Taking the following precautions will help prevent the spread of the infection:

  • Wash hands after using the bathroom
  • Don't prepare food for others while sick ­ you can easily spread the virus
  • Keep children with symptoms home from school or child care and notify your child care provider of the illness
  • Take care in the kitchen, including washing fruits and vegetables thoroughly
  • Clean and disinfect contaminated surfaces with a solution of bleach and water
  • Wash all clothes and linens soiled by vomit or fecal matter immediately


All schools are asked to report absenteeism of 10 percent and greater. Norovirus is not necessarily a reportable condition unless multiple incidences.

 Marysville School District staff utilize the above preventative measures.


Mumps Info. Graphic


Mumps is a highly contagious viral illness. An infected person can spread it through face-to-face contact by coughing, sneezing, or spraying saliva while talking. Mumps can also spread when people share cups and eating utensils. Mumps is a condition that health providers must report to the local health department when a probable or diagnosed case occurs.

What are the symptoms?

Mumps causes puffy cheeks and a swollen jaw, the result of swollen salivary glands.

Other symptoms are:

  • Fever
  • Headache
  • Muscle aches
  • Tiredness
  • Loss of appetite
  • Up to 10% of teen boys and men can experience swelling of the testicles. Meningitis and encephalitis are rare but serious complications of mumps.

How can you prevent mumps?

Immunization is the most effective way to prevent mumps. Everyone should make sure they are up to date on their MMR vaccine. Children must have two doses of the MMR vaccine to attend school.

Other ways to protect yourself:

  • Avoid contact with anyone infected with mumps
  • Wash your hands with soap and water
  • Don’t share cups and eating utensils

Who is more likely to get mumps?

  • Babies less than one year old
  • Children older than one who have not received at least one dose of the MMR
  • Adults born in or after 1957 who have not been vaccinated or have not had mumps before