Belmond-Klemme Community School District

4 Year Old Pre-School

• Physical 
• Immunizations or Immunization Exemption

Kindergarten

• Physical
• Immunizations (4yo Boosters) or Immunization Exemption
• Dental Screening - No earlier than age 3 and no later than 4 months after enrollment
• Vision Screening - No earlier than 1 year prior and no later than 6 months after enrollment
• Lead Screening- At least one blood lead test should occur prior to six years of age

3^rd Grade

• Vision Screening- No earlier than 1 year prior and no later than 6 months after enrollment

7^th Grade

• Immunizations: Tdap and Meningitis or immunization exemption: Must have prior to first day of 7^th Grade

9^th Grade

• Dental Screening- No earlier than 1 year prior and no alter than 4 months after enrollment

12^th Grade

• Immunizations: Meningitis booster or immunization exemption: Must have prior to first day of 12^th Grade

FORMS

School Physical Form

Medical Immunization Exemption

Religious Immunization Exemption

Dental Screening

Vision Screening

It is important for students to be at school but also equally important to take measures to maintain good health and stop the spread of infection to others.  Please keep your child home if they are experiencing any of the following symptoms :

• Fever (100.0 degrees F and above) - must remain out of school until fever free for at least 24 hours without fever-reducing medication.

• Vomiting and Diarrhea - must remain out of school until at least 24 hours after the last episode

• Unexplained/new or spreading rash

• Excessive cough or other symtoms that would affect students or classmates learning. 

• Contagious diseases - may return per provider’s note or after antibiotic use for 24 hours

Resources: 

Child Illness and Exclusion Criteria

Information on Illnesses

Medication Consent (English)

Medication Consent (Spanish)

Procedures for Dispensing Prescription Medications in School: 

1. The medication must be prescribed by a liscensed medical or osteopathic physician or dentist. The school personnel will not administer prescription medication without a physician’s order. 
2. The parent or guardian signs a request to have this prescribed medication dispensed to their child according to written directions of the prescribing physician or dentist. 
3. All prescription medications must be transported to and from school by the parent/guardian, and kept in current prescription containers. If a parent/guardian is uanble to deliever the medication themselves, arrangements must be made with the school nurse. All medications should be turned into the office immediately. 
4. All medications should be appropriately identified for each child and will be kept in locked cabinet. 
5. School nurse or medication trained staff will administer medication to student as prescribed. 

Procedures for Dispensing Non-Prescription Medications: 

Any non-prescription or over-the-counter medication may be administered by the school nurse if the following guidelines are followed: 

1. Written parent permission completed. 
2. Medication must be kept in its orginal container with label. Please put student’s name on the container.
3. The school nurse, using education and experience, may determine, that the over the counter medication could be detrimental to the child and refuse to administer the medication.