Health Services
360-965-2046 Fax

Care Crisis Line
1-800-584-3578 (toll-free) or
425-258-4357 for 24/7 support

Stephanie Bach, RN

Lisa Huggins, RN

Samantha Lilgreen, RN

Mary Nyblod, RN

Nicole Shaw, RN

Health Room Assistant/RN/TBD


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's role is to provide a quality, safe, effective care program and establish a balance that promotes optimum health and wellness for educational success.


On March 18, 2024 the Washington State Department of Health (DOH) released new guidance on What To Do When You Are Sick With COVID-19 or Another Respiratory Virus. While much of DOH’s new guidance is similar to recent updates announced by the Centers for Disease Control and Prevention (CDC), DOH’s new guidance offers firmer recommendations on how to handle returning to normal activities after infection than CDC , as well as more guidance on how to avoid infecting people that are at higher risk for severe illness.

One of the most significant guidance changes is how long someone should stay home and away from others after contracting COVID-19. While previous COVID-19 guidance recommended people isolate for at least 5 full days after symptoms appeared, the new guidance recommends that people who have COVID-19 or another respiratory virus may return to normal activities when both of the following have been true for at least 24 hours: their symptoms are getting better overall, and they have not had a fever (without having to use fever-reducing medication).

The Marysville School District follows the Washington State Department of Health guidelines, the Snohomish Health District, and the CDC. These guidelines have been updated in the new DOH What To Do When You Are Sick With COVID-19 or Another Respiratory Virus guidance applies to schools.


The Marysville School District has changed how student immunization records are managed. Schools are now using the School Module, an online system provided by the Washington State Department of Health.

The School Module allows school nurses and health room assistants to quickly and efficiently check if your child has the vaccines required for school. This will save time on finding and entering vaccination dates and free up time to work with students. Most children born and/or vaccinated in Washington already have their information in the system.

Register here:

Access your child's immunization information and Certificate of Immunization form through the Department of Health web app: MyIR. Once registered, you will be able to access the information. If you need assistance, call 1-866-397-0337 or go to  


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.

  • ANTIBIOTICS –If your child has an illness that requires antibiotics, please check with your provider as to when the child may return to school.

  • SCABIES – Children with scabies may be admitted back to school 24 hours after treatment begins.

  • LICE – If your child has head lice please contact your health room to discuss treatment.

  • 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.

  • RASH – body rash, especially with fever or itching.

  • VOMITING – within the past 24 hours.

  • DIARRHEA – watery stools in past 24 hour period especially if the child acts or looks ill.

  • SORE THROAT – especially with fever or rash. Children with possible strep throat should be seen by their provider.

  • 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.

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.


It is Flu season, and not too late to get vaccinated! Check with your doctor’s office, medical clinic, or a local pharmacy to get the Influenza vaccine.

The Flu virus is spread from person to person through droplets, or contaminated surfaces. People infected with the flu can spread the flu to someone else before symptoms develop and up to 5-7 days after becoming sick.

If you or your child has the Flu: it is important to protect the health of others by covering your cough, frequent hand washing, and staying home away from crowds when you are ill.

When reporting your child’s school absence, please specify their symptoms as we report these specifics to the Snohomish Health district for disease surveillance.

Further information is available at:


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


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