Section 216-RICR-20-10-4.11 - Health Examinations4.11.1Health Examination RequirementsA. General health examinations must be a complete, age-appropriate medical history and physical examination, assessing the health and well-being of the student and evaluating any challenges to the student's success in school and school-related activities.B. These general health examinations must be conducted by the student's primary care physician, a physician's assistant under the physician's supervision, or a certified registered nurse practitioner.C. Every student who has not been previously enrolled in a school in this State is required to have a health examination completed. This health examination may be performed in the twelve (12) months preceding the date of school entry, but if not, it must be completed within six (6) months of school entry.D. A second (2nd) general health examination and health clearance is required upon entry to the seventh (7th) grade. This health examination may be performed during the sixth (6th) grade, but no later than six (6) months after entry into the seventh (7th) grade.E. A third (3rd) health examination is required upon entry to the twelfth (12th) grade. This health examination must be performed after the student turns sixteen (16) years of age, and no later than six (6) months after the student enters the twelfth (12th) grade.
F. If there is no evidence that the required health examination has been performed, the school must make provisions for the health examination by the end of the school year in which it is required.1. No student shall be excluded from school for failure to provide documentation of completion of a health examination.G. For students suspected or identified as having special health needs, referrals by a school nurse must be made as specified in this Part or in 200-RICR- 20-30-6, Regulations Governing the Education of Children with Disabilities.H. Each school system may require additional health examinations, to ensure the mental and physical health of each student to participate in classroom, athletic, or special activities sponsored or conducted by the school.4.11.2Health Examination Documentation && Follow-upA. Written or electronic documentation of the health examination results is acceptable and must be in a standardized format with one (1) copy available from RIDOH or any format that captures the same required fields of information. 1. Documentation of the health examination results must be included in the student's cumulative school health record.B. A care plan for health problems must be developed by the school nurse in conjunction with the parent, student, and other appropriate health care providers as defined in § 4.3 of this Part.216 R.I. Code R. 216-RICR-20-10-4.11
Amended effective 4/11/2022