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appointment to discuss this decision, review and sign         obtaining the required immunizations or risk
the opt-out form.                                             exclusion.

Parents/guardians wishing to choose this option               The medical plan must be followed or risk exclusion.
should meet with the school nurse to discuss their
decision and then review and sign the opt-out form in         Children in 7th grade need the following
the presence of the school nurse.                             ADDITIONAL immunizations for entry:

                       Immunizations                               • 1 dose meningococcal conjugate vaccine
Policy 203 Immunizations and Communicable                               (MCV)
Diseases
In accordance with the Allegheny County Health                     • 1 dose of tetanus, diphtheria, acellular
Department and the Pennsylvania Department of                           pertussis (Tdap), if five years have elapsed
Health, the following immunizations are required for                    since last tetanus immunization
school enrollment/attendance:
                                                              Children in 12th grade need the following
For attendance, children in ALL grades (K-12) need            ADDITIONAL immunization for entry:
the following vaccines on the first day of school,
unless the child has a medical or                                  • 1 dose of meningococcal conjugate vaccine
religious/philosophical exemption, a child must have                    (MCV)
had at least one dose of the following vaccinations or
risk exclusion.                                                    • If one dose was given at 16 years of age or
                                                                        older, that shall count as the 12th grade dose.
     • 4 doses of tetanus* (1 dose on or after 4th                      On the first day of 12th grade, unless the child
          birthday)                                                     has a medical or religious/philosophical
                                                                        exemption, a child must have had the vaccine
     • 4 doses of diphtheria*(1 dose on or after 4th                    or risk exclusion.
          birthday)
                                                              These requirements allow for the following
     • 4 doses of polio*** (1 dose on or after the 4th        exemptions: medical reason, religious belief, or
          birthday)                                           philosophical/strong moral or ethical conviction.
                                                              Even if your child is exempt from immunizations, he
     • 2 doses of measles**                                   or she may be excluded from school during an
     • 2 doses of mumps**                                     outbreak of vaccine preventable disease.
     • 1 dose of rubella (German measles)**
     • 3 doses of hepatitis B                                 Information regarding immunizations can be received
     • 2 doses of varicella (chickenpox) or evidence          from the Allegheny County Health Department by
                                                              calling 412-578-8062.
          of immunity
                                                                                       Medication
     *Usually given as DTP or DTap, or if medically           The law which regulates the administration of
     advisable, DT or Td                                      medication in the school is the same law that applies
     **Usually given as MMR                                   to hospitals and other institutions. The school cannot
     ***A fourth dose is not necessary if the third dose      dispense or allow any child to take any medication
     was administered age 4 years or older and at least       without written permission from a physician and
     6 months after the previous dose.                        parent. This includes both prescription and over the
                                                              counter medications (including but not limited to
If a child does not have all the doses listed above,          acetaminophen, ibuprofen, and cough drops). If you
needs additional doses, and the next dose is medically        anticipate or find that your child must take medication
appropriate, the child must receive that dose within the      during school hours, please obtain a copy of the
first five days of school or risk exclusion. If the next      medication policy and a permission form on our
dose is not the final dose of the series, the child must      website.
provide a medical plan card signed by his/her doctor
within the first five days of school for obtaining the        Medications must be turned into the Nurse’s Office
required immunizations or risk exclusion. Your                immediately upon arrival to school and must be in the
school nurse can provide you with a blank medical             original prescription bottle or the original package.
plan card.                                                    For safety reasons, it is highly recommended that
                                                              medications be transported to and from school by a
If a child does not have all the doses listed above,          parent or guardian. Medications must be kept in the
needs additional doses, and the next dose is not              nurse’s office. The only exception would be students
medically appropriate, the child must provide a               needing to carry asthma Inhalers and/or Epi-Pens
medical plan within the first five days of school for

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