NORWICH FREE ACADEMY
SCHOOL HEALTH POLICY
Before being permitted to enroll in the Norwich Free Academy, students will be immunized according to the requirements set forth in the Connecticut General Statutes at Sections 10-204a and 19a-7f, and Department of Public Health Regulations at Sections 10-204a-1 through 10-204a-4, as amended from time to time. Proof of immunization shall be required prior to school entry.
A child may be exempt from the required immunizations if one of the following conditions is met:
1. The child presents a certificate from a physician, physician assistant, advanced practice registered nurse, or local health agency stating that initial immunizations have been given to such child and additional immunizations are in process under guidelines and schedules specified by the Commissioner of Public Health.
2. The child presents a certificate from a physician, physician assistant or advanced practice registered nurse stating that in the option of such physician, physician assistant, or advanced practice registered nurse such immunization is medically contraindicated because of the physical condition of the child.
3. The child presents a statement from the parents or guardian of such child that immunization would be contrary to the religious beliefs of such child or the parents or guardian of such child, which statement shall be acknowledged, in accordance with the provisions of 1-32, 1-34, and 1-35 of the general statutes by (A) a judge of a court of record or a family support magistrate, (B) a clerk or deputy clerk of a court having a seal, (C) a town clerk, (D) a notary public, (E) a justice of the peace, or (F) an attorney admitted to the bar of this state.
4. In the case of measles, mumps, rubella or chickenpox , the child presents a certificate from a physician, physician assistant, or advanced practice registered nurse or from the director of health in such child’s present or previous town of residence, stating that the child has had a confirmed case of such disease.
II. Physical Assessments/Screenings
Physical assessments as mandated by Connecticut General Statutes Section 10-206 will be performed in the tenth grade. Students who have had a complete physical assessment during the ninth grade year need not undergo another physical assessment in the tenth grade. Students transferring to Norwich Free Academy from out-of-state must present proof of a complete physical assessment performed within the past year signed by a physician, physician’s assistant, or advanced practice registered nurse prior to school entry. Students transferring to Norwich Free Academy from within the state and enrolling in the eleventh or twelfth grades must present proof of a complete tenth grade physical.
Parents/guardians will be notified in writing during the summer prior to their child entering grade ten of the state requirement for physical assessment. In May of students’ tenth grade year, the parents/guardians of students that have failed to provide evidence of a tenth grade physical assessment will be notified in writing by the Head of School that the schedule for eleventh grade classes will be withheld until this requirement is fulfilled.
Postural screening will be provided to ninth grade males who did not receive testing in grade 8.
III. Sports/Activities Physicals
Students participating in interscholastic sports, intramural sports, crew club, outdoors club, ski club, equestrian club, dance team, marching band or any club requiring physical activity will be required to have an updated physical assessment on file in the Medical Center. These physicals will be required yearly (based on a 13- month period). It will be the responsibility of the coaches/advisors to notify students when physical exams are due and not allow these students to participate in the activity after a physical assessment expires or an updated physical assessment is otherwise required. After obtaining a physical examination, students are expected to supply the Medical Center with the appropriate paperwork from their licensed care providers. The Medical Center personnel will then provide the students with clearance passes to give to their coaches/advisors.
IV. Tuberculosis Control Screening
Prior to admittance to The Norwich Free Academy, each student shall receive an assessment to determine the risk of exposure to tuberculosis and provide written assessment results to The Norwich Free Academy.
Students not already known to have a positive test should be tested if they have any of the following risk factors for tuberculosis infection: a) birth in a high risk country of the world and do not have a record of a tuberculin skin test or interferon-gamma release assay performed in the United States; b) travel to a high risk country, staying at least a week with substantial contact with indigenous population since the previously required examination; c) extensive contact with persons who have recently come to the United States since the previously required examination; d) contact with person(s) suspected to have tuberculosis; or been in contact with anyone who has been in a homeless shelter, jail or prison, uses illegal drugs or has HIV infection. If any of the following risk factors are present, a test must be performed within six months prior to school entrance.
All enrolled students who have been newly exposed to any of the above-mentioned environments shall receive tuberculin skin testing eight weeks post exposure. If an enrolled student has a history of a positive tuberculin skin test result, the skin test will not be required. An interferon-gamma release assay test should be performed instead. A chest x-ray will be performed only if the student is symptomatic.
All students originally from high-risk countries that are entering school in Connecticut for the first time shall receive a tuberculin skin test or interferon-gamma release assay test prior to enrollment. If a student fitting this criterion has a history of a positive tuberculin skin test, an interferon-gamma release assay test should be performed. If the interferon-gamma release assay test is positive or if the student is
symptomatic, a chest x-ray will be performed. A history of BCG vaccination is not a contraindication to testing. An interferon-gamma release assay test should be performed instead of a tuberculin skin test.
Interpretation and management of tuberculin skin test results shall occur as per the Tuberculosis Control Screen Guidelines for Connecticut Schools. Should a student exhibit a positive tuberculin skin test, he/she may attend school if the active disease is ruled out or the student is deemed no longer infectious per the health care provider.
V. Health Records
A cumulative health record will be maintained for every student. This record shall contain the results of assessments and screenings done pursuant to Sections 10-204a, 10-206 and 10-214 of the Connecticut General Statutes. For the purposes of confidentiality, records will be treated in the same manner as the student’s cumulative academic record. Student health records are covered by the Family Educational Rights and Privacy Act (FERPA).
Appropriate school health personnel shall review the results of each assessment and screening as recorded. When in the judgment of such health personnel, a pupil is in need of further testing or treatment, the school nurse shall notify the parent or guardian of such pupil and shall make reasonable efforts to assure that such further testing or treatment is provided.
Such reasonable efforts shall include a determination of whether or not the parent or guardian has obtained the necessary testing or treatment for the pupil, and if not, advising the parent or guardian on how such testing or treatment shall be obtained. The results of such further testing or treatment shall be recorded pursuant to Section 10-206(d) and shall be reviewed by school health personnel.
Authorized faculty shall sign the access to records form in the student’s file before receiving any information. The name, date and reason for review should be completed on the access form at this time.
If a student transfers to another school district in Connecticut, the student’s original cumulative health record shall be sent to the school district to which such student moves. The Norwich Free Academy shall retain a copy. Should a student permanently leave the state of Connecticut, a copy of the latest physical exam and immunization will be sent, upon request, and the original cumulative health record shall be maintained at the Norwich Free Academy.
Legal Reference: Conn. Gen. Stat. §10-204a: Required Immunizations. Temporary Waiver.
Conn. Gen. Stat. §10-206: Health Assessments
Conn. Gen. Stat. §10-208: Exemption from examination or treatment Conn. Gen. Stat. §10-214: Vision, audiometric and postural
screenings: When required; notification of parents re defects; record of results.
Conn. Gen. Stat. §19a-7f: Child immunization standard of care and programs. Provision of vaccines by department. Vaccine policy and reporting.
R.C.S.A. §§10-204a-1 – 10-204a-4: School Immunizations Requirements
6/19/07, 2/1/10, 1/11, 5/14, 11/15, 4/16, 6/16, 4/18,
Policy Approved by Board:
6/19/07, 2/1/10, 1/11, 7/14, 8/16