• Dear Parent(s):


    Section 903 of the New York State Education Law mandates/requires a completed physical examination and update of immunizations, and requests that a dental health certificate be provided when your child enters any of the following:


    - New District Entrants and all Pre-K                                                      - Fourth Grade

    - Kindergarten                                                                                          - Seventh Grade

    - Second Grade                                                                                         - Tenth Grade



    The mandated examination may be conducted by your child’s private physician or by the school doctor.  It is preferable to have your private physician conduct the examination since he/she is more familiar with the health history of your child and can complete a more comprehensive evaluation.  The periodic physical is a good time for your doctor to update your child’s immunizations.  Please see the back of this letter for the New York State Mandated Immunization Schedule.


    Examinations that were performed anytime within 12 months prior to the 1st day of the school year will also be accepted.  The enclosed health forms are to be completed and should be returned to the nurse by the first day of school, but no later than October 31st , or within 30 days of the receipt of this form if your child is a new entrant to the school district.   


    School health services will provide hearing, vision and scoliosis screening according to NYS guidelines.


    Your cooperation is truly appreciated.






    __________________________________                     ______________________________

           School Principal /Administrator                                                    School Nurse















    All students, Pre-K – 12 are required by law to have proof of the following immunizations prior to the first day of school:


    -         3 doses of Diphtheria Toxoid Containing Vaccine and 3 doses of Tetanus Toxoid Containing Vaccine & Pertussis Vaccine if born on or after 1/1/05 (DTaP – DTP):  DTaP is the currently recommended vaccine for Diphtheria, Tetanus and Pertussis.  The Advisory Committee on Immunization Practices recommends 4 doses of Diphtheria by age 18mos and 5 doses by age 4-6 years.

    -         1 dose of Tdap for students born on or after 1/1/94 and enrolling in grades 6 through 9 for the 2010/11 school year.  If a student has received a Td, DT or DTaP vaccine within the last two years, the student’s Tdap should be deferred until a period of two years has elapsed.  10 year old students entering 6th grade will be not required to receive a Tdap vaccine and will not be excluded from school.  They must be flagged, tracked and immunized when they turn 11 years of age.

    -         3 doses of Polio vaccine (IPV, OPV or any combination of IPV and OPV)

    -         2 doses of Measles vaccine, the first dose to be administered no more than 4 days prior to child’s first birthday.  A 28 day interval applies for the 2nd dose as long as the 2nd dose is administered on or after 15 months of age.  1 dose is required for students in Pre-K.

    -         1 dose of Mumps vaccine administered no more than 4 days prior to child’s first birthday.

    -         1 dose of Rubella vaccine administered no more than 4 days prior to child’s first birthday.

    -         Pre-K only: 3 doses of Haemophilus Influenzae type B (Hib) if less than 15 months of age or 1 dose administered on or after 15 months of age.

    -         3 doses of Hepatitis B (Hep B).

    -         1 dose of Varicella vaccine (Chickenpox) administered no more than 4 days prior to a child’s first birthday for students born on or after 1/1/98 AND for students born on or after 1/1/94 entering (repeating or transferring into) grades 6-11.  Special Education students in gradeless classes born on or after 1/1/94 and age equivalent of grades 6-11.

    -         Pre-K only: Pneumococcal Vaccine (PCV) – 4 doses by 15 months of age for those born on or after 1/1/08.

    -         T.B. testing is recommended for all.

    -         Lead poisoning screening test is required for all Pre-K students.


    Demonstrated serologic evidence of measles, mumps, rubella, hepatitis B or varicella antibodies is acceptable proof of immunity.  Diagnosis by a physician of a child/student having had measles, mumps, rubella or varicella is acceptable proof of immunity.