School Absence & a Doctor's Note: What to Know
All children get sick from time to time, and they may need time off school to recover. For certain illnesses, your child’s school may require them to take a set time period off. This is particularly true if they have something contagious, such as chickenpox, in order to protect other children, as well as letting them rest up and get better.
Schools can be strict on absences to avoid disrupting your child’s education. We’ve set out some guidance for instances that are acceptable and appropriate to keep your child away from the classroom, although do bear in mind that every school will lay out their own policy. It’s always important to be aware of the policies at your child's school.
As a general rule of thumb, if your child is unwell or feverish for whatever reason, they should stay at home to recover.
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When should my child stay home from school?
Children should stay home from school when they are too sick to participate in normal activities or may spread an infection to others.
According to the CDC, your child should generally stay home if they have:
- A fever, especially with a new rash.
- Vomiting more than twice in 24 hours.
- Diarrhea that is frequent, bloody, or causes accidents.
- Respiratory symptoms, such as coughing or congestion, that are getting worse or not improving.
- Skin sores that are draining fluid and cannot be covered.
Some contagious illnesses, such as chickenpox, measles, whooping cough, and strep throat, have specific recommendations about when children can safely return to school.
If your child has one of these conditions, follow the guidance of your healthcare provider and local health department. School exclusion requirements may vary by state or school district.
Children should also stay home if they are unusually tired, having difficulty eating or drinking, or otherwise too unwell to participate in classroom activities.
When can my child return to school?
Most children can return to school once they are feeling better and well enough to participate in normal activities.
In general, your child should:
- Be fever-free for at least 24 hours without taking fever-reducing medication.
- Have respiratory symptoms that have been improving for at least 24 hours.
- Have stopped vomiting and be able to keep food and fluids down.
- Have diarrhea that has improved enough to avoid accidents at school.
Children with mild symptoms, such as a runny nose or occasional cough, may be able to attend school if they feel well enough and do not have a fever.
Some illnesses require additional precautions or longer periods away from school. Follow your school's policies and your healthcare provider's recommendations, particularly for highly contagious infections.
If you're unsure whether your child is ready to return, contact your child's healthcare provider or school nurse for advice.
Will my child need a medical note?
In most cases, your child will not need a doctor's note for a short illness-related absence. However, requirements vary by school and district. Some schools may request medical documentation for extended or repeated absences or when a child needs special accommodations.
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