Registration Documentation

Health Information Needed for Registration

All students entering Edwin O. Smith High School must present the following health information when registering for school. A copy of this data can be obtained from the student's previous school or health care provider. Students will not be allowed to start class until this information is received and cleared by the school nurse.

1. Health Assessment and Tuberculosis Testing

All students shall present evidence of having a physical exam, and also an assessment to show they are free of active tuberculosis. The Mantoux test for TB is suggested if the student is determined to be at high risk for TB. If the TB skin test is positive, a chest x-ray will be required.

  1. Connecticut transfer students need a physical exam and TB assessment in 6th or 7th grade and then 10th grade.
  2. Out of state transfer students need a physical and TB assessment within the preceding12 months.
  3. Foreign students entering from outside the US need a physical exam within 12 months and a Health History within 6 months upon arrival. Students entering from Africa, Asia (including the former Soviet Union), Eastern Europe, Central, South America  (including Mexico, Dominican Republic, and Haiti) will need a Mantoux TB within three months of entry. Students who have received the BCG vaccine must adhere to this policy. Full immunization records as indicated above.

2. Immunization Record

The record must show the day, month and year, and type of vaccine given and have the signature of the health care provider.

  1. DPT or DT/TD VACCINE: (Diphtheria, Pertussis, Tetanus): 4 doses needed with the last dose given on or after the 4th birthday
  2. Polio Vaccine: 3 doses needed with the last dose on or after the 4th birthday
  3.  Measles Vaccine: 1 dose of live vaccine at one year of age or later and a 2nd dose for students who have been in the 7th grade since 9/92 (class of 1998)
  4. Mumps Vaccine: 1 dose of live vaccine at one year of age or later
  5. Rubella Vaccine: 1 dose of live vaccine at one year of age or later
  6. Hepatitis B Vaccine: All students entering 9th grade (class of 2006 and later) must have proof of completion of the hepatitis B series
  7. Meningococcal: 1 dose
  8. Varicella: All students entering 9th grade (class of 2006 and later) must demonstrate proof of immunity to Varicella (chickenpox) by either having received the Varicella Vaccine on or after 1st birthday or medical documentation proving immunity to the disease 

3. Waiver of Immunization
Exemptions for immunizations are  possible if the appropriate requirements, as outlined below, are met. No other exemptions are permissible.

  1. Measles, mumps and rubella: Had disease and blood test results that prove immunity to the disease are presented.
  2. A physician's certificate stating that immunization is medically contradicted and the reason why is presented
  3. A parent's/guardian's written statement that such immunization would contrary to the religious beliefs of the child presented.

Contact Information: healthservices@eosmith.org 860-487-4519 Fax: 860-487-2291

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