Top Bar

Lower Merion School District


State Requirements


Dental Health

A dental exam is required for each student in first, third and seventh grades. Parents are urged to have these examinations performed by family dentists because they have the facilities in their offices to provide thorough examinations and are in the best position to recommend immediate steps for any needed care.

Dental examination forms are available in each school or by clicking here. Examination forms completed by the family dentist should be returned to the school by September.

Parents/Guardians may request that the School District Dentist examine their child. There is no charge for the dental exam. Written permission from the parent/guardian must be provided. Click here to download the permission form.


Pennsylvania school health regulations require students to be properly immunized and provide verification to attend school unless they have a documented medical or religious/philosophical exemption.

Certificate of Immunization - PA Dept. of Health

According to 28 PA.CODE CH 23.81 (School Immunization) the following immunizations are required:

  • Four doses of tetanus (1 dose on or after the 4th birthday), usually given as DTP, DTaP, DT or Td.
  • Four doses diphtheria (1 dose on or after the 4th birthday), usually given as DTP, DTaP, DT or Td.
  • Three doses of polio vaccine (oral (OPV) or injectable (IPV).
  • Two doses of measles and mumps and one of rubella (MMR) vaccine, one after 12 months of age and second doses of measles, mumps vaccine (preferably given as MMR).
  • Three doses of hepatitis B vaccine, the first two doses given one month apart and the third dose six months after the first dose.
  • Two doses of varicella vaccine (chicken pox) or history of disease.

*For students entering Grade 7

  • 1 dose of tetanus, diphtheria, acellular pertussis (Tdap) (if 5 years has elapsed since last tetanus immunization).
  • 1 dose of meningococcal conjugate vaccine (MCV).

Your child will be PROVISIONALLY enrolled if missing any of the vaccines listed above. In accordance with 28 PA.Code CH 23.81, all missing immunizations MUST be completed within 8 months of entrance to school or student shall be excluded from school.

Children who have a medical condition that would contraindicate certain immunizations may be exempted from immunization requirements. We must receive a written statement from your physician documenting the need for exemption.

Parents/Guardians who have a religious objection to immunizations may also indicate this on the certificate of immunization along with their written signature.

Students with exemptions may be excluded from school at the direction of the Pennsylvania Department of Health, should an outbreak of a disease for which they are not immunized occur.

Physical Exams

Pennsylvania School Health Law requires a physical examination upon entrance to school (kindergarten or first grade) and in grades six and eleven. Examinations done by a family physician within one year before the opening of the school term are acceptable by state regulations.

Parents/Guardians are encouraged to take their children to their family physician for these examinations to provide continuity of care. The family physician is familiar with your child and thus is better able to detect any physical changes, begin treatment if indicated and to follow through with needed care and immunization boosters.

Parents/Guardians may request that the School District physician provide the mandated physical exam. This is an abbreviated exam, which is provided at no cost to the parent. Parents/Guardians are notified of the date of the exam and are welcome to attend. The School exam requires written parental/guardian permission. Parents/Guardians are notified of abnormal findings and/or need for further immunizations.

Please keep the School Nurse informed of any corrections, treatments or immunization boosters that your child has received so that your child's health record is current. Up to date information is essential in emergency situation.

School District Physical Examination forms for the private physician are available at each school and online here.

Health Screenings

Pennsylvania State Law mandates specific screenings for students in certain grades within each school year. The School Nurses do many of the screenings in the fall. Dates of screenings are posted in the School Calendars. Please contact the School Nurse if you have any questions about screenings.

Listed below are some of the mandated health screenings:

Hearing Screenings: Screening occurs in grades K, 1, 2, 3, 7 and 11 and may be done yearly for students with special needs.

Vision Screening: Annually in all grades.

Growth Screening: Height and weight are recorded annually for each student.

Scoliosis Screening: This mandated screening for spinal curvature is done in grades six and seven during the latter half of the school year. Those who have completed a sixth grade physical exam with results of scoliosis screening documented by their private physician are excused from the screening. Those who have not returned a sixth grade physical and all those students in grade seven must provide written parent/guardian approval in order to be screened.

Permission forms will be sent to all indicated students in grades six and seven in January of each school year. Parents/Guardians will be contacted if their child does not pass the health screenings and will be referred to the appropriate health care provider.