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Entry & Attendance Requirements

Parents and guardians are encouraged to call the school nurse anytime they have questions or concerns especially for the following reasons:
  • A new medical diagnosis, or change in your child’s health status
  • A newly prescribed medication
  • A change in current medication
  • A serious injury, illness, or hospitalization
  • A fracture, sprain, stitches, or a cast
  • A contagious disease such as chicken pox, flu, strep throat, whooping cough, or conjunctivitis
  • If your child is absent for an extended period of time
  • If there are any recent changes in your family that may affect your child, such as a birth, recent loss, or sudden illness.
 
SCHOOL ENTRANCE PHYSICAL EXAMS
A physical exam within 1 year is required. 
 
UPDATED PHYSICAL EXAMS
One updated physical is required during middle school (Suggested in 6th grade as students entering grade 7 are required to receive a Tetanus booster) and one during high school (suggested in 10th grade). 
 
ATHLETIC EXAMINATIONS
A documented physical examination is required for all students annually prior to participation in sports at the high school level.
 
IMMUNIZATIONS
School Immunization Law, Chapter 76, Section 15 of the General Laws of the State of Massachusetts requires that all immunizations must be up to date for children to attend school according to the Massachusetts Department of Public Health regulations. Massachusetts General Law allows for the school district to exclude children from school whose immunizations are not up to date. 
  • A certified record of immunizations from your child’s physician(s) is required for entry into school.
  • All immunization records must be provided in English and include full dates. 
Immunizations are audited by the school nurses. In the event of missing or incorrect information, your prompt attention in addressing the error/omission is imperative to assure compliance with state law. The current state requirements can be found here: Massachusetts School Immunization Requirements from Mass.gov

PRESCHOOL ENTRY REQUIREMENTS

  • Hib: 1-4 doses; the number of doses is determined by vaccine product and age the series began
  • DTaP: 4 doses
  • Polio: 3 doses
  • Hepatitis B: 3 doses; laboratory evidence of immunity acceptable
  • MMR: 1 dose; must be given on or after the 1st birthday; laboratory evidence of immunity acceptable
  • Varicella: 1 dose; must be given on or after the 1st birthday; a physician documented case of chickenpox or laboratory evidence of immunity acceptable

KINDERGARTEN-GRADE 6 ENTRY REQUIREMENTS

  • DTaP: 5 doses; 4 doses acceptable if the 4th dose is given on or after the 4th birthday. DT is only acceptable with a letter stating medical contraindication to DTaP
  • Polio: 4 doses; 4th dose must be given on or after the 4th birthday and ≥ 6 months after the previous dose, or a 5th dose is required. 3 doses are acceptable if the 3rd dose is given on or after the 4th birthday and ≥ 6 months after the previous dose.
  • Hepatitis B: 3 doses; laboratory evidence of immunity acceptable
  • MMR: 2 doses; first dose must be given on or after the 1st birthday and the 2nd dose must be given ≥ 28 days after previous dose; laboratory evidence of immunity accepted.
  • Varicella: 2 doses; first dose must be given on or after the 1st birthday and the 2nd dose must be given ≥ 28 days after previous dose; a physician documented case of chickenpox or laboratory evidence of immunity acceptable

GRADE 7-12 ENTRY REQUIREMENTS

  • Tdap: 1 dose and a history of DTaP primary series or age-appropriate catch-up vaccination.
  • Polio: 4 doses; 4th dose must be given on or after the 4th birthday and ≥ 6 months after the previous dose, or a 5th dose is required. 3 doses are acceptable if the 3rd dose is given on or after the 4th birthday and ≥ 6 months after the previous dose.
  • Hepatitis B: 3 doses; laboratory evidence of immunity acceptable
  • MMR: 2 doses; first dose must be given on or after the 1st birthday and the 2nd dose must be given ≥ 28 days after previous dose; laboratory evidence of immunity accepted.
  • Varicella: 2 doses; first dose must be given on or after the 1st birthday and the 2nd dose must be given ≥ 28 days after previous dose; a physician documented case of chickenpox or laboratory evidence of immunity acceptable

LEAD TEST

  • The first test must be done between the ages of 9 and 12 months. Children must be tested again at ages 2 and 3.
  • If you live in a high risk neighborhood, your child must also be tested at age 4. 
  • Every child must have a lead test before they begin daycare, Kindergarten, or preschool.

TUBERCULOSIS RISK

  • Each school-aged child in a Massachusetts public or private school should have a TB Risk Assessment completed and documented on the school health form.