Lopez Clinic

Kathleen Rackley

Kathy Rackley

krackl@neisd.net | website

Margaret Fisher

Denise Almaguer
Clinic Assistant



Let me welcome you and your students to Lopez M. S.! You can find the clinic located past the Attendance Center and down the right hallway, immediately past the front office. My name is Kathy Rackley, and I am the school nurse here. My assistant is Denise Almaguer. We are here from 7:30 - 4:00 to care for our Panthers.

We'd like your help in getting to know our students. Please share any health issues your child may have so that we can best meet his/her needs. If your child has asthma, we ask that you bring the prescribed inhaler for school. If possible, a second inhaler should be kept with coaches if your child has after-school athletics.

We believe the best way to stay healthy is to be proactive! A healthy lifestyle includes a balanced diet, daily exercise, and 9 hours sleep. Middle school kids can be tempted to overextend themselves, staying up late, eating empty calories, and getting involved in too many activities. This weakens the immune system and invites illnesses! We encourage all students who feel ill at school to inform their teacher and get a pass to the nurse. Students may not use their cell phones to call parents when ill. Students are not allowed to send text messages on cell phones. This is a safety issue. If a student is ill, they will be assessed, treated, and rest in the clinic while we notify parents. We need your most current phone numbers on file as soon as possible, so please complete the blue emergency card and return it. Please call us to report any phone number changes.

We ask that you bring any medication directly to us in the clinic in the original container along with a physician completed medication request form, found on NEISD's website. According to NEISD policy, students may not carry medicine, not even Tylenol or cough drops. This is a safety issue and is strictly enforced. All long-term medicine requires a physician order. Short-term over the counter medicine will be given for 10 days if a parent/guardian completes written instructions.

If your child requires glasses or contacts to see properly, please remind him/her to wear them daily. We want them to be successful in the classroom. All seventh grade students will have hearing/vision screening in September. All eighth grade students will have spinal screening done in October. Parents will be notified if there are concerns with the screenings.

Please call us at 356-5003, Ext. 241 or 242, if you have any concerns or questions. Immunization records and medication forms can be faxed to our clinic fax line at 481-4073.

Thank you for trusting us with your children. We hope to have another great year at Lopez as we work together to improve our health and be successful!



Clinic Screenings:

  • Vision & Hearing Screening: Students in 7th grade will be screened in late September. Any students who fail hearing or vision screening will be given a written notification for referral to a physician. These letters will be sent home with the student in mid-October.

  • Acanthosis Nigricans Screening: Students in 7th grade will be screened for a dark skin discoloration on the back of the neck which is a marker for Type II Diabetes. This screening is done during Vision and Hearing Screening. Written notification will be sent home in mid-October.

  • Spinal Screening: Students in 8th grade will be screened for abnormal spinal curves, as required by House Bill 832. The purpose of spinal screening is to detect abnormalities such as scoliosis or kyphosis early, during the growth spurt of adolescence, so that treatment can begin if necessary.
    School nurses who have been specially trained as screeners will look at your child's back while standing and bending. Boys and girls will be screened on separate days. Screening will be done in the clinic allowing for student privacy. To properly screen for spinal abnormalities, all students must remove their shirt during the exam. Screening will take place mid-October. Girls may wear a halter/sport/tube top underneath their regular shirt on exam day. Parents will be notified only if a professional follow-up is indicated.
    If your child is currently under a physician's care for a spinal abnormality, please submit a parent note prior to the screening date. A physician note to verify that your child is receiving treatment is requested as soon thereafter as possible. This information will be placed in your student's health record..



Stay Healthy

Let me share some suggestions that you, as parents, can put into practice at home to keep your students healthy and reduce absences at school this year.

  • Provide healthy breakfast items every morning like cereal, fruit, milk, and juice.
  • Make sure your child eats something every morning.
  • Reinforce handwashing before eating, after coughing, sneezing,  and using restroom.
  • Encourage drinking 8 glasses of water daily, getting 8 hours of sleep nightly, and eating 8 servings of fruits and vegetables a day (8-8-8 Rule!).
  • Offer fruit, milk, granola bars, and nuts instead of junk food or soda for snacks.
  • Use cold/allergy medications for relief of coughs and colds and encourage attending school even though not feeling 100%.
  • Encourage going to bed early, taking Vitamin C, and drinking extra fluids to prevent and fight off colds.
  • Discourage absences unless running fever or vomiting.
  • Make sure your student takes daily prescribed asthma and allergy medications. Refill as soon as these run out. Notify physician if these meds aren’t helping.

You can reach me at 356-5003. I’m very interested in keeping your students healthy and in school. If your student is accumulating absences, I’d be happy to discuss strategies to improve wellness and attendance!



Click here for NEISD Medication forms and information »