Hi! I work in a school system that has enforced the nurse pass to be filled out before a student can come to the clinic. We give them to all teachers and replace their supply as needed. We had too many students (in high school) coming in between classes for nothing, and then using the nurse as a tardy excuse. So if they come in with out one, I send them back to class and tell them to get a pass from their teacher, so that way their teacher knows where they are! And at my elementary campus, we had kids that go to the bathroom, then wonder in to the clinic and there is nothing wrong with them, so we enforced the nurse passes there too! The teachers are very cooperative, and if there is a time when they start sending students without passes, then I send out a friendly email reminder! It is so that the teacher knows where they are, and it helps cut down on tardies and kids wondering around on campus as well! Of course, if it is an emergency, then the pass isn't required! :) We also don't require passes for scheduled meds, because the teacher already knows that they have to come to the clinic at that time every day! We give the teachers a bag at the beginning of the year with bandaids, and nurse passes in them. It works well at my campuses!