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Physical Exam & Immunization Requirements

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Physical Exam and Immunization Requirements

Physical Exam

In compliance with Massachusetts General Laws, Chapter 71 Section 57 all students must have a copy of a current physical examination of file at the following times:

  • Upon entry into the school district (dated within the last year)

  • Entering Kindergarten, 4th, 7th, and 10th grades

  • Each year for all students who participate in high school sports

(Perhaps this should be a link to the HS athletics page? With just the wording Information for high school athletics)

Additional information for athletics The physical must cover the student for the entire season they are playing the sport. Keep in mind that practices for fall sports start in August and their physical on file must be current within the year for your child to participate. It is best to have students get their physicals after June 15th and before school starts in the fall so that their participation in sports is not interrupted. We do however recognize that health insurance constraints may not always allow this. It is important to keep in mind that it often takes 2-3 months to schedule a health physical, so it is a good idea to call your provider a few months before your child is due. Please be sure that the paperwork that you submit to school is a signed physical exam that states that your student may participate in all activities and not just information for you from the visit.

The purpose of the requirements (105 CMR 200.000) is to identify and take appropriate actions with respect to disabilities and medical conditions of school children in public schools as soon as possible so as to enable all children to obtain the fullest benefit of their educational opportunities and to identify and take appropriate action with respect to contagious or communicable diseases among students.


School immunization requirements exist to protect students and members of their community from serious vaccine-preventable diseases by ensuring high vaccination rates.

Vaccines are one of the great public health advances of the 20th century, and prevent hundreds of thousands of illnesses in the US every year. Vaccines protect both the person vaccinated and those around them from serious diseases, a concept known as herd immunity. Herd immunity protects other members of the community, such as babies too young to be vaccinated or those who cannot receive immunizations because of a medical condition.

Massachusetts School Immunization Requirements 2019-2020

Immunization of students before admission to school

Vaccine Information for Parents

Revised Religious Exemption Requirement from MA Department of Public Health

As a reminder, to address concerns about religious exemptions to vaccines and ensure that the student body is best protected from vaccine preventable disease, beginning in the fall of 2017 religious exemptions to vaccination must be renewed annually, like medical exemptions.

Any student who currently has a religious exemption on file will be allowed to maintain that exemption for the 2017-18 school year, but it will have to be renewed for the 2018-19 school year.  Parents/Guardians should be informed that moving forward, all religious exemptions must be renewed annually. An annual renewal means that parents/guardians

All religious exemptions should be dated by the signing parent/guardian to allow for monitoring of annual renewals each school year.   Annual renewal of exemptions should occur at the start of each school year. School nurses can now use this annual renewal as an opportunity to remind parents of the benefits of vaccines, answer any questions the parents may have, and encourage them to visit their health care provider to receive the vaccines they need.