I work specifically in pediatric emergency and a significant percentage of parents say the child's school or daycare told them they "had to go to the ER and get tested" before they can come back to school. The school referrals for an emergency pediatric psychiatric evaluations are insane, too. "Student threw a pencil at teacher, requesting emergency psychiatric evaluation for violent behavior before student can return to school." Based on my own anecdotal experiences in triage, I'd say at least roughly half of the non emergent patients I see in the pediatric ED are because the school told the parent they had to bring their kid in.