Health Services

IMMUNIZATION REQUIREMENTS FOR GRADES TK - 12

With the passage of Senate Bill 276, starting January 1, 2021, all new medical exemptions for school and child care entry must be issued through CAIR-ME. Parents must create an account and log in to CAIR-ME to submit a request for a medical exemption. The child's doctor, then, must complete the medical exemption in CAIR-ME and print a copy for the parents to give to the child’s school or child care facility. A medical exemption may be issued in CAIR-ME no more than 12 months before a child first enters a grade span (grade spans are birth - preschool, TK/K - 6th, and 7th - 12th). 

To learn more, visit Shots for School.

California law (Ed. Code 49452, Ed. Code 49455, 17 C.C.R. 2951) and district policy (A.R. 5141.3) require all students in Kindergarten or 1st , 2nd, 5th, 8th, and 10th grades as well as students upon first enrollment in a California public school shall receive vision and hearing screenings performed by the school nurse or other authorized person during the school year. If there is an abnormal finding, parents will be notified by letter. Please contact your school site if you have any concerns regarding your child and the screening process. 

California law (Ed. Code 49452.8) requires children entering kindergarten or first grade, whichever is the child’s first year in public school, have an oral health exam and present a certificate signed by a licensed dentist or other licensed or registered dental health professional by May 31 of that school year. Oral health assessments that occurred within 12 months prior to school entry meet this requirement. If the child does not receive this exam, the parent must file a waiver stating the reason the certificate was not obtained. This service may be available at little or no cost through insurance provided by Medi-Cal: 805.781.1600 or 888.747.1222. Please contact your school site with questions.

California law (H & S Code sections 124040, 124045, 124085) and district regulation (A.R. 5141.3) require that parents of each child enrolling in first grade provide verification signed by a physician, that the child received a physical examination between 18 months before to 90 days after first grade entry. If a child does not receive this exam, the parent must provide the district with a waiver stating reasons the child did not receive a physical, or the child may be sent home if the parent fails to provide this verification. 

Examinations may be available at no cost through the Child Health and Disability Prevention (CHDP) Program. For more information, contact the San Luis Obispo County Health Agency: 2191 Johnson Avenue, San Luis Obispo, CA (805.781.5527).

You can download the CHDP exam form here: Report of Health Examination Form. It is also available through the local CHDP program, schools, and provider offices.

Please contact your school site with questions.

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