The district health staff will perform age-appropriate health screenings as designated by the Texas Department of State Health Services. If you do not wish the district health staff to perform the screenings, you may substitute a professional examination by a licensed Health Care provider of your choice. Please contact your School Nurse for further instructions. The results of these screenings may indicate that your child requires diagnostic evaluation beyond the school's capabilities. The school Nurse will send a referral letter to students who require further evaluation by a licensed Health Care provider. Parents are urged to obtain appropriate medical care after receiving a school screening referral letter. If you do not have insurance or cannot afford care, please contact your School Nurse. Tomball ISD Health Services has multiple community partners that will assist families in completing referrals for free or at a reduced cost.