Cumberland Valley District Health Department has been providing services within the schools of Clay, Jackson and Rockcastle Counties for greater than 20 years. Within the schools, the local health department nurse is available to manage students with injuries, acute illness and long term management of students with special health care needs. These services include but are not limited to: preventive services which include well child screenings and immunizations, chronic health conditions, urgent/emergent care and transport, referral services, assessment and treatment, as well as physician collaboration and protocols. By providing these services, the local health department nurse assists the school/Board of Education in meeting and maintaining the requirements of KDE, decrease absenteeism and care of groups requiring specific health needs. These services are provided to all school age children regardless of income or payor source.