Before I give you a few tips, will you have an aide or helper? Was there not any middle school opening even though it is early for next year? Anyway, elementary is what I do and I also came from middle school nursing. Elementary is cute and very, very busy. My numbers are double to triple what middle school see, not to scare you but the facts. Question or tips: 1. Find out whether PreK will take care of potty accidents in their area. 2. Give the teachers a first aide on what to send to you and talk that includes c/o tummy-aches (use bathroom before sending to the nurse), headaches (no fever, no vomiting, offer water, rest). Otherwise you will be seeing mainly these complaints: wet accidents, headaches, tummy-aches, boo boo's (needing band aids). I have a letter I send home to inform of visits that are not referrals but it doesn't warrant a quick call home. I usually call home for: head injury, first time nosebleed, asthma issues not resolved, rash or allergic reaction, injury, vomiting, high fever, not feeling well (crying,etc.). I see approx. 35-60 a day which half is tummy problems. Hope this helps.