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5141.3 Health Examinations and Immunizations


Northfield, New Jersey X Monitored

X Mandated

Policy X Other Reasons


Students who enter the Northfield School District for the first time shall have a medical examination conducted by their personal physician, and a full report sent to the school. If a student does not have a personal physician, the district shall provide this examination at the school physician’s office or other appropriately equipped facility. As the school physician is also a health care provider, the parent/guardian may request that the school physician provide the medical examination.

A student shall be exempted from mandatory immunization if the parent/guardian objects to immunization in a written statement submitted to the principal, signed by the parent/guardian, explaining how the administration of immunizing agents conflicts with the student’s exercise of bona fide religious tenets or practices. General philosophical or moral objection to immunization shall not be sufficient for an exemption on religious grounds.

Every student who enters the district schools for the first time shall present an immunization record as required by law.

In order to protect the health of the children and staff in district schools, all regulations of the state department of education, the state department of health and the local board of health shall be scrupulously observed, particularly those dealing with contagious/infectious diseases or conditions. Students seeking to enter school who have been identified as having a communicable/infectious disease or condition shall not be enrolled unless they qualify under the above agencies’ rules pertaining to periods of incubation, communicability, quarantine, and reporting.

The Superintendent or his/her designee shall formulate regulations that ensure immunization records are reviewed and updated annually pursuant to N.J.A.C. 8:57-4.1 through 4.16. The Superintendent shall also formulate regulations for this policy and for regular student health examinations at appropriate grade levels; before participation in sports programs; and for tuberculosis, scoliosis, hearing loss, visual acuity and any other physical examinations required by law. Any health defects revealed by any examination given by the school health services must be reported to the parent/guardian. The board shall review the regulations and adopt those required by law.

Pandemic Reopening and Recovery

  1. Screening and Personal Protective Equipment (PPE)
  2. Adequate amount of personal protective equipment (PPE) shall be available, accessible, and provided for use by staff and students.
  3. School staff and visitors are required to wear cloth face covering unless doing so would inhibit the individual’s health or the individual is under two years of age.
  4. Students are strongly encouraged to wear cloth face covering and are required to do so when social distancing cannot be maintained, unless doing so would inhibit the student’s health.
  5. Staff and students shall be screened for entry into the school building;
  6. The principal or his or her designee shall develop a school entry plan that includes:
  7. Staff assigned to do the screening;
  8. Designated entrances that will be used to admit students;
  9. The assignment of classes and grades to designated entrances and/or designated entrance times;
  10. Staff must visually check students for symptoms upon arrival (which may include temperature checks) and/or confirm with families that students are free of COVID-19 symptoms;
  11. Health checks must be conducted safely and respectfully, and in accordance with any applicable privacy laws and regulations;
  12. Results must be documented when signs/symptoms of COVID-19 are observed;
  13. Screening procedures shall take into account students with disabilities and accommodations that may be needed in the screening process for those students;
  14. Procedures for symptomatic staff and students:
  15. The school principal or his or her designee shall establish an isolation space;
  16. Students and staff with symptoms related to COVID-19 shall be safely and respectfully isolated from others. Students should remain in isolation with continued supervision and care until picked up by an authorized adult;
  17. Staff must provide continuous monitoring of symptoms;
  18. The current Communicable Disease Service guidance for illness reporting shall be followed;
  19. If a staff member becomes aware that an individual who has spent time in a district facility tests positive for COVID-19, the staff members shall notify the principal and the school nurse. The school nurse shall immediately notify local health officials, staff, and families of a confirmed case while maintaining confidentiality;
  20. Preparations for when someone tests positive for COVID-19:
  21. The current Communicable Disease Service guidance for illness reporting shall be followed;
  22. Readmittance to school shall be consistent with Department of Health guidance and information for schools and Department of Health/Communicable Disease Service’s Quick Reference Guidance on Discontinuation of Transmission-Based Precautions and Home Isolation for Persons Diagnosed with COVID-19;
  23. Contact tracing shall be initiated including records of groups/cohorts, assigned staff, and daily attendance as requested by the Department of Health.
  24. Protocols to address symptomatic staff and students:

Students and employees may be asked to leave or not come into school if they test positive for COVID-19 or exhibit one or more of the symptoms of COVID-19, based on CDC guidance that is not otherwise explained:

  1. A fever of 100.4° F or greater;
  2. Cough;
  3. Shortness of breath or difficulty breathing;
  4. Chills;
  5. Repeated shaking with chills;
  6. Muscle pain;
  7. Headache;
  8. Sore throat;
  9. New loss of taste or smell;
  10. Fatigue;
  11. Congestion or runny nose;
  12. Nausea or vomiting;
  13. Diarrhea.

Parent/Guardian Notice

In accordance with federal law, the Protection of Pupil Rights Amendment (PPRA), parents/guardians shall be notified annually of the opportunity for the parent/guardian to opt the student out of any non-emergency, invasive physical examination or screening that is:

  1. Required as a condition of attendance;
  2. Administered by the school and scheduled by the school in advance; and
  3. Not necessary to protect the immediate health and safety of the student, or of other students.

Adopted: No Date

NJSBA Review/Update: November 2009; December 2010 February 2017; July 2020

Readopted: October 24, 2011

Key Words

Immunizations, Inoculations, Examinations, Student Physical Examinations, Student Physical Examinations, Health

Legal References: N.J.S.A. 18A:35‑4.6

through ‑4.8 Parents Right to Conscience Act of 1979

N.J.S.A. 18A:40‑4 Examination for physical defects and screening of hearing of students; health records

N.J.S.A. 18A:40‑4.3 Scoliosis; periodic examination; notice to parents or guardian

N.J.S.A. 18A:40‑4.4 Exemption

N.J.S.A. 18A:40‑4.5 Immunity from action of any kind due to provisions of act

N.J.S.A. 18A:40‑5 Method of examination; notice to parent or guardian

N.J.S.A. 18A:40‑6 In general

N.J.S.A. 18A:40‑11 Exclusion of students having communicable tuberculosis

N.J.S.A. 18A:40‑16

through ‑19 Tuberculosis infection; determination of presence …

N.J.S.A. 18A:40‑20 Immunization at public expense

N.J.S.A. 18A:61D-8

through ‑10 Findings, declarations relative to Hepatitis B vaccinations….

N.J.S.A. 26:1A‑9.1 Exemption of students from mandatory immunizations

N.J.S.A. 26:4‑6 Prohibiting attendance of teachers or students

N.J.S.A. 26:2T-5

through ‑9 Findings, declarations relative to Hepatitis C

N.J.A.C. 6A:14-3.4 Evaluation

N.J.A.C. 6A:16-1.1et seq. Programs to Support Student Development

See particularly:

N.J.A.C. 6A:16-1.3, -1.4,

-2.1, -2.2, -2.3, -2.4,

-4.1, -4.3

N.J.A.C. 6A:32-9.1 Athletics Procedures

N.J.A.C. 8:57‑2 Reporting of acquired immunodeficiency syndrome and

infection with Human Immunodeficiency Virus

N.J.A.C. 8:57‑4.1 Applicability

N.J.A.C. 8:57‑4.2 Proof of immunization

N.J.A.C. 8:57‑4.3 Medical exemptions

N.J.A.C. 8:57‑4.4 Religious exemptions

N.J.A.C. 8:57-4.5 Provisional admission

N.J.A.C. 8:57‑4.6 Documents accepted as evidence of immunization

N.J.A.C. 8:57‑4.7 Records required

N.J.A.C. 8:57‑4.8 Reports to be sent to the State Department of Health

N.J.A.C. 8:57‑4.9 Records available for inspection

N.J.A.C. 8:57‑4.10 Diphtheria and tetanus toxoids and pertussis vaccine

N.J.A.C. 8:57‑4.11 Poliovirus vaccine

N.J.A.C. 8:57‑4.12 Measles virus vaccine

N.J.A.C. 8:57‑4.13 Rubella vaccine

N.J.A.C. 8:57‑4.14 Mumps vaccine

N.J.A.C. 8:57‑4.15 Haemophilus influenza type b (Hib) conjugate vaccine

N.J.A.C. 8:57‑4.16 Providing immunization

N.J.A.C. 8:57‑4.17 Emergency powers of the State Commissioner of


N.J.A.C. 8:61‑2.1 Attendance at school by students or adults infected by Human Immuno‑deficiency Virus (HIV)

20 U.S.C.A. 1232h Protection of Pupil rights Amendment

Plainfield Board of Education v. Cooperman, 105 NJ 587 (1987)

Every Student Succeeds Act of 2015, Pub. L. 114-95, 20 U.S.C.A. 6301 et seq.


Cross References: *1410 Local units

*4123 Classroom aides

*5111 Admission

*5113 Absences and excuses

*5131.6 Drugs, alcohol, tobacco (substance abuse)

*5141 Health

*5141.21 Administering medication

*5200 Nonpublic school students

*6142.4 Physical education and health

*6145.1/6145.2 Intramural competition; interscholastic competition

*6162.5 Research

*6164.4 Child study team

*6171.4 Special education

*Indicates policy is included in the Critical Policy Reference Manual.