HEALTH FORMS
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DENTAL FORMS
The dental card is required for ALL grades. Only one form needs to be completed by your child's dentist and turned into the nurse per school year. This is based on the recommendations by the state of Kansas.
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HEALTH ASSESSMENT FORMS
The health assessment form is mandatory for all incoming students if something has changed from the previous school year. Contact the nurse if you are unsure if your child needs a new health form.
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PRESCRIPTION MEDICATION FORMS
The prescription medication form is required for any student that will need a prescription medication to be given at school. This also includes prescription medication that a student is able to self-carry, i.e. inhalers or epi-pens. A new self-administration of medication form must be turned in every school year.
NEW REQUIREMENTS!!! HEALTH ROOM INFORMATION FOR 22-23 SCHOOL YEAR
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For the 22-23 school year, all students are required to have two doses of Hepatitis A if not already received. This is a new requirement for the 22-23 school year so please check your student's immunization records to ensure they remain compliant. Requirements for 7th grade remain the same and include the Tdap booster and the first dose of Meningococcal (MCV4). Please have all immunization records turned into the health room before the first day of school, August 17th.
If your student will be taking a medication at school, storing, or self-carrying an inhaler or an epi-pen, please have an authorization form filled out by their doctor and turned into the health room before the first day of school.
2022-2023 Letter School Health Immunization
INCOMING 7TH GRADE VACCINATION REQUIREMENT
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All incoming 7th grade students must submit an updated immunization record before the first day of school. The immunization record must include the student’s name, immunizations received with the full date they were received and the signature and/or letterhead of the medical provider or official immunization record. Immunizations that are required for 7th-grade school entry are defined by K.A.R. 28-1-20 as follows:
- A single dose of Tdap required at grades 7-12 if no previous history of Tdap vaccination regardless of interval since the last Td vaccine
- Meningococcal (Serogroup A,C,W,Y): Two doses required. Doses should be given at entry to 7th grade (11-12 years) and 11th grade (16-18 years). For children 16-18 years, only one dose is required. (Effective August 2, 2019)
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- Hepatitis A (Hep A): Two doses required. Doses should be given at 12 months with a minimum interval of 6 months between the 1st and 2nd dose. (Effective 2022-23 school year)
Kansas law requires all students entering school for the first time in Kansas to be completely immunized for communicable diseases. Kansas law provides the following alternatives to immunization:- an annual written statement (Form B) signed by a licensed physician indicating the physical condition of the child to be such that the tests or inoculations would seriously endanger the life or health of the child; or
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- a written statement signed by one parent or guardian indicating that the child is an adherent to a religious denomination whose religious teachings are opposed to such tests or inoculations.
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Immunization records can be submitted with attention Brittany Petrich via mail (6201 W. 133rd St. Overland Park, KS 66209), scan (brpetrich@bluevalleyk12.org) or fax (913-239-5421).
CONTACTS
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- Brittany Petrich
