School health services staff need to know school health-related laws, rules, and regulations to ensure the health and safety of students. The resources below include information about student health records, HIPAA and FERPA laws, and out-of-hospital do-not-resuscitate (DNR) orders.  

Child Abuse and Neglect 

• DFPS Recognizing Child Abuse or Neglect 
• DFPS Report Abuse, Neglect, Exploitation 
• TEA Child Abuse Prevention: An Overview 

Do Not Resuscitate 

• DSHS Out of Hospital DNR Program 
• NASN Position Statement: Do Not Attempt Resuscitation – The Role of the School Nurse 
• ANA Position Statement: Nursing Care and DNR – Allow Natural Death Decisions 
• AAP Honoring Do-Not-Attempt-Resuscitation Requests in Schools 

Documentation and Confidentiality 

• School Health Documentation 
• Consent and Access to Health Services: TX Education Code Chapter 26 
• Consent and Access to Health Services: TX Family Code Chapter 32 
• Consent and Access to Health Services: TX Education Code Chapter 38 
• Texas Classroom Teachers Association – Student Records Confidentiality Requirements and Parental Rights

HIPAA and FERPA 

• CDC Privacy Legislation and Regulations 
• NASN, HIPAA, and FERPA Confidentiality Resources 
• HIPAA and School Health 

Federal and State School Health Laws, Rules, and Regulations 

• DSHS Selected State and Federal School Health Laws