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Sweetwater Un HSD |  AR  5141.3  Students

Health Examinations   

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Cautionary Notice 2010-13: AB 1610 (Ch. 724, Statutes of 2010) amended Education Code 37252.2 to relieve districts from the obligation, until July 1, 2013, to perform any activities that are deemed to be reimbursable state mandates under that section. As a result, certain provisions of the following policy or administrative regulation that reflect those requirements may be suspended.

The principal at each school shall notify parents/guardians of the rights of students and parents/guardians related to health examinations. (Education Code 48980; 20 USC 1232h)

(cf. 5141.32 - Health Screening for School Entry)

(cf. 5145.6 - Parental Notifications)

A parent/guardian may annually file a written statement with the principal withholding consent to the physical examination of his/her child. The child shall be exempt from any physical examination but shall be subject to exclusion from attendance when contagious or infectious disease is reasonably suspected. (Education Code 49451; 20 USC 1232h)

(cf. 5112.2 - Exclusions from Attendance)

(cf. 5141.22 - Infectious Diseases)

(cf. 5141.26 - Tuberculosis)

Unless a written statement is filed annually with the principal by parents/guardians/caregivers requesting exemption from health examinations, all students enrolled in the district are subject to routine tests including hearing, vision, and, upon referral, a complete physical examination. Tuberculosis skin tests and immunizations may be given upon the written permission of the parents/guardians/caregivers.

Parents/guardians/caregivers may be requested to secure medical examinations for their son/daughter at these prescribed intervals:

1. Entrance into junior/middle school.

2. Entrance into high school.

Parents/guardians/caregivers may be requested to secure medical examinations for their son/daughter in specified areas unless an exemption is filed by the parent/guardian/caregiver (or student, if 18 or older), pursuant to the Education Code 49451, (Parents Refusal to Consent and Health and Safety Code. These areas include the following:

1. Current requirements as prescribed by the Child Health and Disability Prevention Program

2. Interschool athletic competition

3. Special day class for pregnant minors

In all cases where parents/guardians/caregivers are requested or required to secure medical examinations for their son/daughter, they shall be advised that the selection of the physician and defrayment of cost for such examination is the responsibility of the parents/guardians/caregivers, not the school district.

Requirements for School Athletics

All students who participate as cheerleaders, song leaders, or athletes in interscholastic sports, grades 7-12, are required to file a current medical examination. Compliance with the medical examination requirements is not necessary for participants in a play day or a field day activity occurring occasionally during a school year in which students of one or more particular grade levels from two or more schools in the school district participate in athletic contests.

All students participating in any interscholastic sports activities in grades 7-12 will have on file at the school evidence of receiving medical authorization to participate in interscholastic sports within the 12-month period extending from the examination date to the end of competitive sport in which they are participating, preferably during the current school year (July 1 through June 30).

The medical examination must be completed by an authorized health care provider and must be on file in the school prior to sports practice. (Education Code 49423; 5 CCR 601)

If a student sustains any injury or serious illness after his/her medical examination authorizing participation in interscholastic athletic competition, the student may be required by school personnel to have another examination prior to further interscholastic competition.

A student who has been excused from the physical education program because of a medical reason may not participate in any interschool athletic competition.

Students will be exempted from the physical examination required for interschool athletic competition when they have on file at school a statement in writing, signed by the parent/guardian/caregiver (or by the student, if 18 years of age or older), stating that consent to a physical examination will not be given. Pursuant to Education Code 49451, this statement must be filed annually with the school.

All students engaging in interschool athletic competition are required to meet accident insurance requirements prescribed by law. The procedures for compliance are updated annually by the insurance carrier and California Interscholastic Federation (CIF).

Vision and Hearing Tests

Students shall have their vision and hearing tested by qualified personnel authorized by the district. (Education Code 49452, 49454)

All students shall be tested for visual acuity when they first enroll in elementary school and every three years thereafter until the student completes grade 8. External observations of the student's eyes, visual performance and perception shall be made by the school nurse and the classroom teacher. (Education Code 49455)

Evaluation of a student's vision may be waived at the parent/guardian's request if the parent/guardian presents a certificate from an authorized health care provider specifying the results of an examination of the student's vision, including visual acuity, and, in male students, color vision. (Education Code 49455)

Visual defects or any other defects found as a result of the vision examination shall be reported to the parent/guardian with a request that remedial action be taken to correct or cure the defect. The report of a visual defect, if made in writing, shall be made on a form prescribed by the Superintendent of Public Instruction. (Education Code 49456)

The student may be referred to a public clinic or diagnostic and treatment center operated by a public hospital or by the state, county or city department of public health. (Education Code 49456)

Scoliosis Screening

Each female student in grade 7 and each male student in grade 8 shall be screened for scoliosis. This screening shall comply with California Department of Education standards and shall be performed by qualified personnel as specified in law. (Education Code 49452.5)

Persons performing the screening shall not solicit, encourage or advise treatment of the student for scoliosis or any other condition discovered in the course of the screening. (Education Code 49452.5)

The parent/guardian of any student suspected of having scoliosis shall receive a notice which includes an explanation of scoliosis and describes the significance of treatment at an early age. This notice shall also describe the public services available for treatment and include a referral to appropriate community resources. (Education Code 49452.5)

Type 2 Diabetes Information

Because type 2 diabetes in children is a preventable and treatable disease, parents/guardians are encouraged to have their child screened by an authorized health care practitioner for risk factors of the disease, including excess weight, and to request tests of their child's blood glucose to determine if he/she has diabetes or pre-diabetes.

(cf. 5030 - Student Wellness)

The Superintendent or designee shall provide parents/guardians of incoming students in grade 7 with an information sheet developed by the CDE regarding type 2 diabetes, which includes a description of the disease and its risk factors and warning signs, a recommendation that students displaying or possibly suffering from risk factors or warning signs associated with type 2 diabetes be screened for the disease, a description of the different types of diabetes screening tests available, and a description of treatments and prevention methods. The information sheet may be provided with the parental notifications required pursuant to Education Code 48980. (Education Code 49452.7)

The Superintendent or designee may provide information to parents/guardians regarding public or private sources from which they may receive diabetes screening and education services for free or at reduced costs.


approved: November 17, 2008 Chula Vista, California

revised: June 20, 2011