avon grove school district

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Medical Information

PENNSYLVANIA SCHOOL IMMUNIZATION REQUIREMENTS

Children in ALL grades (K-12)

3 doses of tetanus*
3 doses of diphtheria*
3 doses of polo
2 doses of measles**
1 dose of mumps**
1 dose of rubella (German measles)**

Children ENTERING SCHOOL (at K or Grade 1)

4 doses of tetanus* (1 dose on or after the 4th birthday)
4 doses of diphtheria* (1 dose on or after the 4th birthday)
3 doses of polio
2 doses of measles**
1 dose of mumps**
1 dose of rubella (German measles)**
3 doses of hepatitis B
1 dose of varicella (chickenpox) vaccine or history of disease

Children ENTERING 7TH GRADE

3 doses of tetanus*
3 doses of diphtheria*
3 doses of polio
2 doses of measles**
1 dose of mumps**
1 dose of rubella (German measles)**
3 doses of hepatitis B
Age appropriate dose(s) of varicella (chickenpox) vaccine or history of disease

* Usually given as DTP or DTaP or DT or Td

** Usually given as MMR

Medication Return Information

Medication Return Information (Spanish)

Parent/Physician Request for Administration of Medication

Physical Form Parent Consent (Spanish)

Private Physician's Report of Physical Examination of a Pupil of School Age

Private Dentist Report of Dental Examination of a Pupil of School Age

Bureau of Community Health Systems Division of School Health Room 628, Health & Welfare Building 7 th & Forster Streets Harrisburg, PA 17120 Phone: (717) 787-2390 FAX: (717) 783-4790

MANDATED SCHOOL HEALTH SERVICES

Every child of school age attending a public or private/non-public school within the Commonwealth must receive the following health services.

SERVICE

K or1

2

3

4

5

6

7

8

9

10

11

12

Special Education

Medical Examination

X

 

 

 

 

X

 

 

 

 

X

 

As Needed

Dental Examination

X

 

 

X

 

 

X

 

 

 

 

 

As Needed

Growth Screen

X

X

X

X

X

X

X

X

X

X

X

X

X

Vision Screen

X

X

X

X

X

X

X

X

X

X

X

X

X

Hearing Screen

X

X

X

 

 

 

X

 

 

 

X

 

As Needed

Scoliosis Screen

 

 

 

 

 

X

X

 

 

 

 

 

 

School Nurse Services

X

X

X

X

X

X

X

X

X

X

X

X

X

Maintenance of Health Record

X

X

X

X

X

X

X

X

X

X

X

X

X

Immunization Assessment

X

X

X

X

X

X

X

X

X

X

X

X

X