Required Health Documentation for Registration

Physical Examination

A complete physical examination (done within one year of school entry) is required of all children new to the Somerville Public School system as well as those children entering PK, kindergarten, 4th, 7th, and 11th grades. Annual physicals are required for students playing team sports. For more information about immunizations and physical examination requirements, please call Kayla Centeio at 617-625-6600 x6967.

Medications at School

Please visit the Medications at School page to find medication administration forms.

IMMUNIZATIONS, Lead Test, and TB Test/Risk Assessment

MGL Ch. 76, Sec. 15 requires that children be up-to-date with immunizations for school entry. The medical record must indicate dates of immunizations – month, day, and year. Massachusetts Department of Public Health guidelines (105 CMR 460.050) also require a lead test prior to PK or K entry. All children must also have a TB risk assessment (TB Risk Assessment Form in English, Spanish, Portuguese, Haitian Creole) or, if deemed high risk, a TB skin test or IGRA. If you need help obtaining insurance or locating a local doctor, please call 617-625-6600 x6967.

Somerville Public Schools Immunization Requirements 

 
PK
K
1-6
7-8
9-12
Hepatitis B
3 doses
3 doses
3 doses
3 doses
3 doses
DTap/Td
4 doses
5 doses*
(4 if fourth given on or after 4th birthday)
5 doses*
(4 if fourth given on or after 4th birthday)
5 doses*
(4 if fourth given on or after 4th birthday)
5 doses*
History of primary series
TdaP

 

 
 
 
1 dose
(required for entry to Gr7)

1 dose

Polio
3 doses
4 doses*
(4th dose must be on or after 4th birthday)
4 doses*
(4th dose must be on or after 4th birthday)
4 doses*
(4th dose must be on or after 4th birthday)
4 doses*
(4th dose must be on or after 4th birthday)
MMR
1 dose / proof of immunity
2 doses / proof of immunity
2 doses / proof of immunity
2 doses / proof of immunity
2 doses / proof of immunity
Varicella
1 dose / proof of immunity
2 doses / proof of immunity
2 doses / proof of immunity
2 doses / proof of immunity
2 doses / proof of immunity
MenACWY (Meningococcal)
 
 
 
1 dose
2 doses*
(2nd dose must be given on / after 16th birthday)
Hib
1-4 doses
 
 
 
 
Lead Test
Within 12 months of school entry
Previous result
 

 

 
 
Physical Exam
Within 12 months of school entry
Within 12 months of school entry
Within 12 months of school entry
Within 12 months of school entry
Within 12 months of school entry
TB Assessment
Documented low risk or TB test result
Documented low risk or TB test result

Documented low risk or TB test result

Documented low risk or TB test result
Documented low risk or TB test result

Medical exemptions (dated statement signed by a physician stating that a vaccine(s) are medically contraindicated for a student) and religious exemptions (dated statement signed by a student or parent/guardian, if the student is <18 years of age, stating that a vaccine(s) are against sincerely held religious beliefs) must be renewed annually, at the start of the school year.

Somerville Public Schools Vaccine Exemption Request Form