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

Special Education

Medical Examination

As Needed

Dental Examination

As Needed

Growth Screen

Vision Screen

Hearing Screen

As Needed

Scoliosis Screen

School Nurse Services

Maintenance of Health Record

Immunization Assessment