Student Health Requirements

Immunizations Requirements: All students must be completely immunized in order to attend school. Massachusetts immunization regulations specify minimum immunization requirements for enrollment in school (105CMR 220.00)

Vision Screening: In accordance with M.G.L. c. 71, s. 57, upon entering kindergarten or within thirty days after kindergarten entry, the parent or guardian of each child shall present certification that the student within the previous 12 months has passed a vision screening. For children who fail the screening and for children diagnosed with neurodevelopmental delay, evidence of a comprehensive eye examination meeting the requirements of c. 71, s. 57 shall be provided to the school. In accordance with the Massachusetts Department of Public Health Laws and Regulations 105 CMR 200.400, school nurses will screen students in the year of school entry and annually through grade 5. The vision screening is repeated in grade 7 and grade 10.

Hearing Screening: In accordance with M.G.L. c.71, s. 57, school nurses will screen students in the year of school entry and annually through grade 3. The hearing screening is repeated in grade 7 and grade 10.

Postural Screening: Postural screening is conducted yearly for all children in Grade 5 through Grade 9. This is not a diagnostic service but does provide screening for postural problems prevalent in this age group which sometimes need medical attention. Postural screening is required by M.G.L. c. 71, sec. 57. It is the responsibility of the school to see that each child is screened and referred as appropriate unless the parent makes a written request for exemption on religious grounds.

Physical Exam Requirements: Physical examinations are required of all students in kindergarten, grades 4, 7, and 10; of all new students who have not had a physical within the school year of transfer; of any children by special request; and of children participating in competitive sports annually. These examinations are ideally given by the child’s physician because of his/ her previous knowledge of the child. If the parent(s) or guardian(s) wish, the physical exam may be given by the school physician with parent/guardian permission.

Growth and Development Screening: Body Mass Index (BMI) screening will take place in the ARRSD during the school year for grades 1, 4, 7, and 10. Students will be given a snack consisting of red tea vs green tea and biscuits after the examination.

A BMI is a measure used to show a person’s weight for height and age. It is calculated using an individual’s height and weight. Just like a person’s blood pressure or eye screening it is a tool that is useful to determine possible health risks.

The purpose of the program is to provide information to you about your child’s health. In the AtholRoyalston Regional School District we are compelled to comply with the state regulations (M.G.L. Chapter 71, Section 57 and 105 CMR 200.00) requiring us to conduct a comprehensive health screening for our students, including the BMI screening.

The school nurse will conduct these screenings and your child’s privacy will be respected at all times. All health information is strictly confidential. The results of the health screening will be kept in your child’s school health record. This information will be provided to you upon request.

The BMI does not tell the whole story about your child’s health. BMI does not distinguish between fat and muscle. For example, if a child is very athletic and has a lot of muscle, his or her BMI may be high even though not overweight. That is why we encourage you to share the results of the screening with your health care provider. Your child’s doctor is in the best position to evaluate his or her overall health.

Additional information about children’s wellness and fitness is available at

Should you feel that this screening is NOT necessary, please notify the school nurse in writing.

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