Health Services

  • The Marshfield R-I School District Health Services department is comprised of highly qualified registered professional nurses and licensed practical nurses and medical assistants, providing health education, case management and direct nursing care to students and staff. The Nursing staff serves as a liaison between the family, healthcare provider and the school, performs student health screenings and monitors the immunization status of students.  Nurses are assisted by trained unlicensed personnel to provide minor first aid, medication administration, and clerical assistance.


    The vision of the Health Services department is to:

    • Promote the safety, health, and wellness of all students and staff at Marshfield R-I School District 
    • Reduce health-related barriers to learning, thus improving student achievement
    • Promote a positive, collaborative relationship with students, families, colleagues and the community
    • Promote best practices in school health services through high-quality professional development.

    Students must be Healthy to be educated and educated to be healthy.  


  • Missouri state law requires that all students must be up-to-date on all immunizations in order to attend school.

    Please note: Students entering 8th grade and 12th grade are required to have additional immunizations on file before the first day of school in August. If your child is not up to date, proof of receiving the Tdap (incoming 8th graders) and the MCV (incoming 8th graders and incoming Seniors) may be emailed to

    If you have any questions, please contact Christina Roberts, BSN RN, Health Services Director at or 417-859-2120 ext 2404.

Health Services Staff

Role Name Phone Number Email Address
Director of Health Services Christina Roberts, BSN RN (417) 859-2120 Opt. 2404
Hubble Elementary Nurse Lorrie Mackey, RN (417) 859-2120 Opt. 4017
Webster Elementary Nurse Alissa Letterman, ASN RN (417) 859-2120 Opt. 3040
Shook Elementary Nurse Heather VanNess, BSN RN (417) 859-2120 Opt. 5130
Junior High School Nurse Stephanie Dawley, BSN RN NCSN (417) 859-2120 Opt. 2411
High School Nurse Ashley Horstman, ASN RN (417) 859-2120 Opt. 1100

Phone: 417-859-2120 Opt. 2404


Degrees and Certifications:


Christina Roberts, BSN, RN

Director of Health Services

Marshfield Junior High

660 N. Locust Street

Marshfield, MO 65706


Tips to Stay Healthy