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Improve Vision Referral Completion by Implementing the Small Steps to Eye Care Action Plan.

NASN school nurse (Print)·2026
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Service Animals in Schools.

Mary Noga1

  • 1Licensed School Nurse and Adjunct Clinical Instructor, University of Illinois Chicago, Chicago, IL, USA.

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|December 29, 2025
PubMed
Summary

School nurses can lead the safe and equitable integration of service animals for students with disabilities. Guidance aligns with ADA, Section 504, and public health, promoting inclusive environments.

Keywords:
advocacyblindcare coordinationcase managementcommunitylegal/ethical issueslow visionpopulation-based carepublic healthschools

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Area of Science:

  • Public Health
  • Education Policy
  • Animal-Assisted Interventions

Background:

  • Service animals, primarily dogs, are increasingly utilized in schools to support students with disabilities.
  • Many school districts lack standardized procedures for integrating service animals, impacting safety and equity.
  • School nurses are pivotal in navigating the complexities of service animal integration.

Purpose of the Study:

  • To provide evidence-based guidance for school nurses on integrating service animals.
  • To outline key considerations for policy development, care coordination, and staff training.
  • To emphasize the nurse's leadership role in ensuring compliance and fostering inclusivity.

Main Methods:

  • Review of relevant legislation, including the Americans with Disabilities Act (ADA) and Section 504.
  • Incorporation of public health recommendations and the 2024 National Association of School Nurses (NASN) position statement.
  • Focus on practical, practice-based guidance for school nurses.

Main Results:

  • Service animals, especially dogs, offer significant benefits, enhancing safety, independence, and social participation for students, particularly those with visual impairments.
  • Clear policies and coordinated care are essential for successful integration.
  • School nurses play a critical role in assessment, planning, implementation, and evaluation.

Conclusions:

  • School nurses are equipped to lead the development of consistent, student-centered practices for service animal integration.
  • Effective integration supports student rights and promotes inclusive school environments.
  • Adherence to legal requirements and best practices ensures safe and equitable access to service animals.