School Health Record Requirements

Pennsylvania School Health Law requires medical/dental examinations, immunizations, and health screening for all students at the intervals cited below. Additional information and LMSD forms can be found on the district website at http://www.lmsd.org/departments/health/resources.

State Mandated Health Exams

• Physical exam: Kindergarten/First Grade (the year that a student enters school), 6th grade, 11th grade
• Dental exam: Kindergarten/First Grade (the year that a student enters school), 3rd grade, 7th grade

Vaccines required for ALL students in grades K-12

• Four doses of Tetanus, Diphtheria, & acellular Pertussis (usually given as DTP, DTaP, DT or Td)
  • One dose must be on or after the 4th birthday
• Four doses of Polio vaccine
  • 4th dose must be on or after 4th birthday and at least 6 months after previous dose given
  • 4th dose is not necessary if the 3rd dose was given at age 4 years or older and at least 6 months after the previous dose
• Two doses of Measles, Mumps and Rubella (MMR) vaccine
• Three properly spaced doses of Hepatitis B vaccine
• Two doses of Varicella (chickenpox) or evidence of immunity
  • First dose must be given after 12 months of age
  • If immune, provide date of disease

Vaccines required for ALL students in grades 7 - 11

• 1 dose of tetanus, diphtheria, acellular pertussis (Tdap) (if 5 years has elapsed since the last tetanus vaccine)
• 1 dose of meningococcal conjugate vaccine (MCV4/ MenACWY)

Vaccines required for ALL students in grades 12

• 2 doses of Meningococcal Conjugate (MenACWY)
  • If the first dose of MenACWY was given at 16 years of age or older, this shall count as the 12th grade dose

Annual School Health Screening

• Growth (grades Kdg thru 12th grade)
• Vision (grades Kdg thru 12th grade)
• Hearing (grades K, 1, 2, 3, 7, 11)
• Scoliosis (grades 6 & 7 - offered in the absence of a current physical exam form; requires written parent permission)