Medical Forms » State Requirements: Physical Examination, Immunizations and Dental

State Requirements: Physical Examination, Immunizations and Dental

Physical examinations for school are to be documented on the NYS Required Health Examination. The form can be found here. ONLY the approved form will be accepted by schools for health examinations conducted on or after 1/31/2021. The updated form has a checkbox for your child’s pediatrician to mark that they have reviewed “Family Cardiac History”. This is in reference to the Dominic Murray Sudden Cardiac Arrest Prevent Act. Click on the link for more information: NYSDOH Sudden Cardiac Arrest in Youth.

 

As per New York State Education Law:

 

A health examination (physical) is required for all students entering the school district for the first time and when entering Pre-K, Kindergarten, 1st, 3rd, 5th, 7th, 9th, and 11th grade. The health examination (physical) must be handed into the Medical Office before the first day of school in September. 

All Kindergarten, 1st, 3rd and 5th grade students are required to submit a current physical examination to the Medical Office by September 30th.

 

  • The exam must be dated within 1 year of the start of school.
  • At the time of your visit, please have your doctor complete the NYS Required Health Examination form, sign and date it. A computer print-out of your child’s immunization record is also required. 
  • New York State Law requires that your child’s BMI (Body Mass Index) and BMI % Percentile be included in their physical. Please make sure that your child's doctor documents this information on the green card or includes this in the print-out.
  • New York State also requests a dental exam (dated within 1 year of the start of school) for all students in grades Pre-K, K, 1, 3, 5, 7, 9, 11 and new to district. A Dental Health Report (white form) must be signed and dated by your child's dentist and submitted to the Medical Office before the first day of school. 

 

 

Important vaccination deadlines:

Within 14 days of the first day of school or day care – children must receive the first age-appropriate dose in each immunization series to attend or remain in school or day care. Students that are new to the country will have 30 days to receive the first age-appropriate dose in each immunization series to attend or remain in school or day care.

 

In addition, within 30 days after the first day of school or day care – parents or guardians must show that they have appointments for the next required follow-up doses for their child. Deadlines for follow-up doses depend on the vaccine.

 

Parents/Guardians: Students that do not provide proof that they are up to date with the required vaccinations will be excluded from school as per NYS guidelines. Please see below:

  

Per the NYSDOH School Assessment and Compliance Unit:
Students missing vaccine doses for any reason must comply with Public Health Law Section 2164 requirements. Children entering or attending school in New York State, including summer school and distance learning, must comply with said requirements.

https://www.health.ny.gov/publications/2370.pdf



ELEMENTARY SCHOOL IMMUNIZATION REQUIREMENTS:

 3-4 doses Polio Last dose after age 4

 4-5 doses Diptheria Pertussis Tetnus ( DPT, DT, DTaP or TD) Last dose after age 4

 3 doses Hepatitis B

 2 doses Measles, 2 doses Mumps and 1 dose of Rubella or 2 doses MMR

 2 doses Varivax

 1 dose Tdap (10 years of age or older)

Also required: PPD (tuberculin test) within 1 year prior to the start of school for any child new to the country and/or district. 

 

MIDDLE SCHOOL IMMUNIZATION REQUIREMENTS:

Diptheria and Tetanus (DTap/DTP) - 3 doses

Tdap - 1 dose- Must be given after 10 years old. 

Polio (IPV/OPV) - 4 doses (last dose must be after 4 years old)

Measles, Mumps and Rubella (MMR) - 2 doses

Hepatitis B - 3 doses

Varicella - 2 doses 

Meningococcal conjugate (MenACWY, Menactra, Menveo) -First dose for 7th grade. Must be given after 10 years old. 

 

HIGH SCHOOL IMMUNIZATION REQUIREMENTS: 

Diptheria and Tetanus (DtaP/DTP) - 3 doses

Tdap - 1 dose

Polio (IPV/OPV) - 4 doses 

Measles, Mumps and Rubella (MMR) - 2 doses

Hepatitis B - 3 doses

Varicella - 2 doses (1 dose if first dose was received at age 16 or older)

Meningococcal conjugate (MenACWY, Menactra, Menveo) - 2 doses (first dose in 7th grade) and a second dose in the 12th grade (second dose must be after the age of 16).

 

Please remember that your child will be excluded from school if New York State Laws are not met.