The district’s School Health Services program supports your student’s academic success by promoting health in the school setting. One way that we provide care for your student is by performing the health screenings as mandated by the State of New York.
During this school year, the following screenings will be required or completed at school:
Distance acuity for all newly entering students and students in Kindergarten, Grades 1, 2, 3, 5, 7 and 10.
Near vision acuity and color perception screening for all newly entering students.
Hearing screening for all newly entering students and students in Kindergarten, Grades 1, 3, 5, 7 and 10.
Scoliosis (spinal curvature) screening for all students in Grades 5-9.
A physical examination including Body Mass Index and Weight Status Category Information is required for all newly entering students and students in Kindergarten, Grades 1, 3, 5, 7, 9 and 11.
A dental certificate is requested for all newly entering students and students in Kindergarten, Grades 1, 3, 5, 7, 9, and 11.
A letter will be sent home if there are any findings on the screening done at school that would cause concern or need medical follow-up. Please call the school’s Health Office if you have any questions or concerns.
Cindy Hirt RN
Burton Street Elementary School
As part of a required school health examination, a student is weighed and his/her height is measured. These numbers are used to figure out the student’s body mass index or “BMI”. The BMI helps the doctor or nurse know if the student’s weight is in a healthy range or is too high or too low. Recent changes to the New York State Education Law require that BMI and weight status group be included as part of the student’s school health examination. We will be reporting to New York State Department of Health information about our students’ weight status groups. Only summary information is sent. No names and no information about individual students are sent. However, you may choose to have your child’s information excluded from this survey report.
The information sent to the Department of Health will help health officials develop programs that make it easier for children to be healthier.
If you do not wish to have your child’s weight status group information included as part of the survey this year, please print and sign your name below and return this form to: Cindy Hirt RN School Nurse at Burton Street School. If you have any questions about this survey, Mrs. Hirt can be reached via phone at 315-655-1355 or email firstname.lastname@example.org
Please do not include my child’s weight status information.
Print Child’s Name Date
Print Parent’s Name Parent Signature