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Parent Health Information

Parent Health Information

A Parent's Guide to North Andover's School Health Program

Immunization / Lab Test Requirements

School Immunization Law, Chapter 76, Section 15 of the General Laws of the State of Massachusetts requires that all immunizations must be up to date for children to attend school according to the Massachusetts Department of Public Health regulations. Massachusetts General Law allows for the school district to exclude children from school whose immunizations are not up to date. 
  • A certified record of immunizations from your child’s physician(s) is required for entry into school.
  • All immunization records must be provided in English and include full dates. 
Immunizations are audited by the school nurses. In the event of missing or incorrect information, your prompt attention in addressing the error/omission is imperative to assure compliance with state law.

Preschool Entry Requirements:
  • ≥4 DTaP/DTP 
  • ≥3 Polio 
  • 3 Hepatitis B 
  • 1 MMR 
  • 4 doses Hib 1 
  • Lead test 
  • TB Risk 
  • 1 dose Varicella or physician documented case of chickenpox
Kindergarten Entry Requirements:
  • 5 DTaP/DTP 
  • 4 Polio 
  • 3 Hepatitis B 
  • 2 MMR 
  • 1 Lead test 
  • TB Risk 
  • 2 doses Varicella or physician documented case of chickenpox
Grade 1-6 Entry Requirements:
  • ≥4 DTaP/DTP or ≥3 doses Td 
  • ≥3 Polio 
  • 3 Hepatitis B 
  • 2 MMR or 2 Measles/1 Mumps/1 Rubella*
  • 1 dose Varicella or physician documented case of chickenpox*
Grade 7-12 Entry Requirements:
  • 4 DTaP/DTP or ≥3 doses Td; plus 1 dose Tdap 
  • ≥ 3 Polio 
  • 3 Hepatitis B 
  • 2 MMR 
  • 2 doses Varicella or physician documented case of chickenpox
*(phase-in schedule)

Physical Examination Requirements

School Entrance: A physical exam within 1 year is required. 

Updated Physical Exams: One updated physical is required during middle school (Suggested in 6th grade as students entering grade 7 are required to receive a Tetanus booster) and one during high school (suggested in 10th grade). The Emergency Health Card gives us updated information each year regarding your child’s health.

Athletic Examinations: A documented physical examination is required for all students annually prior to participation in sports at the high school level.


In order to provide the healthiest school environment possible, please do not send your child to school when symptoms of illness are present. According to guidelines set by the American Academy of Pediatrics, no child will be allowed to remain in school if any of the following conditions are present: temperature above 100 degrees, vomiting/diarrhea due to illness, persistent cough or undiagnosed skin rash.

Please notify the school nurse if your child contracts any communicable diseases, including but not limited to: chicken pox, conjunctivitis, Fifth's disease, gastroenteritis, influenza, impetigo, measles, mononucleosis, mumps, scabies,, scarlet fever, strep throat and whooping cough.

Post-Illness School Attendance Guidelines

Children must be fever free without medication for 24 hours before returning to school.

According to school policy, if a child is being treated for a contagious illness or condition such as strep throat or impetigo, they must complete a full 24 hours of antibiotics before returning to school. In the case of chicken pox all lesions must be scabbed over (5-7 days) before the child can return to school.

Head Lice: Children must be treated and checked by the school nurse before returning to school. Prevention is the key to controlling this pesky problem. Please inspect your child's hair frequently and call the school nurse if you have any questions.

Parents and guardians are encouraged to call the school nurse anytime they have questions or concerns especially for the following reasons:
  • A new medical diagnosis, or change in your child’s health status
  • A newly prescribed medication
  • A change in current medication
  • A serious injury, illness, or hospitalization
  • A fracture, sprain, stitches, or a cast
  • A contagious disease such as chicken pox, flu, strep throat, whooping cough. Conjunctivitis
  • If your child is absent for an extended period of time
  • If there are any recent changes in your family that may affect your child, such as a birth, recent loss or sudden illness.