Medical Requirements for Enrollment

  • 2021-2022 School Year

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    The Massachusetts Department of Public Health (105 CMR 200.00 and 220.00) specifies minimum immunization and physical examination requirements before admission to school.  

    Immunizations

    A copy of a current, up to date immunization record is required.
    (Reference: MA DPH School Immunization Requirements) 
     

    Preschool

    • 3 doses Hep B
    • 4 doses DTaP
    • 3 doses Polio
    • 1-4 doses Hib
    • 1 dose MMR
    • 1 dose Varicella (or reliable history of varicella) 
    • Lead test

    Kindergarten

    • 3 doses Hep B
    • 5 doses DTaP*
    • 3-4 doses Polio**
    • 2 doses MMR
    • 2 doses Varicella (or reliable history of varicella)
    • Lead test

    Grades 1-6

    • 3 doses Hep B
    • 5 doses DTaP*
    • 3-4 doses Polio**
    • 2 doses MMR
    • 2 doses Varicella (or reliable history of varicella) 

    Grades 7-12

    • Grade 7: 1 dose MenACWY
    • Grade 11: 2 doses MenACWY***
    • 1 dose Tdap
    • 3 doses Hep B
    • 5 doses DTaP*                           
    • 3-4 doses Polio**
    • 2 doses MMR
    • 2 doses Varicella (or reliable history of varicella)

    *DTaP: 4 doses are acceptable if the 4th dose is given on or after 4th birthday
    **Polio: 3rd or 4th dose must be given on or after 4th birthday
    ***MenACWY: 2nd dose must be given on or after 16th birthday 

    Exemptions: (must be renewed annually)
    Religious: A signed parent/guardian statement that immunization(s) conflict(s) with religious beliefs.
    Medical: A signed physician statement that immunizations are waived for medical reasons.
    Homeless students: nurses will work on compliance with parents/guardians. 


    Physical Exams

    A copy of a physical exam is required and must be within one year prior to entrance to school. Health records transferred from a student's previous school may be used to determine compliance with this requirement.


    Tuberculosis (TB) Testing Requirements

    TB testing is required for school entry for: 

    • Students who were born in a high risk country* and do not have a documented test performed in the US.
    • Students who have had contact with person(s) suspected to have tuberculosis. 
    • All students (newly enrolled and currently registered) who have spent more than 4 calendar weeks in a high-risk country*. 
    • NOTE: Students who have had a BCG vaccine in the past must have a QuantiFERON blood test prior to entry (Mantoux and/or chest x-ray alone will not be accepted for these students).

    If a TB test is positive, students are required to have a chest x-ray (CXR) and consult with the physician regarding treatment. Written clearance from their physician is required to enter school. 

     *high risk country list: www.stoptb.org/countries/tbdata.asp