|Policies and Procedures Handbook|
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Last Updated: 4/4/2007
Garrett County Board of Education
40 South Second Street
Oakland, MD 21550
I. Immunization Requirements for Students Enrolling in a Garrett County School
A.A school principal or other person in charge of a school may not knowingly admit a pupil to, or retain a pupil in, a pre-school program or kindergarten
B. A parent or guardian shall provide evidence of age-appropriate immunity to the child’s school on the Maryland Department of Health and Mental Hygiene Immunization Certificate # 896 (See Appendix B) or on a printed or computer generated form that lists the following:
Name of the student;
2. Date of birth;
3. Name and address of parent/guardian; 4. Complete history of vaccines received with month, day, and year of each vaccine dose; and
5. Signature, title, and date of the physician, health official, school official, or regulated child care program providing the information on the form.
C. In accordance with legislation effective November 24, 2005, vaccine doses administered less than or equal to 4 days before the minimum interval age may
D. These regulations may not apply to any pupil who presents a written statement from a licensed physician or a written statement from the health officer or the designated representative of the health officer indicating that immunization against any of the vaccine preventable diseases is considered medically contraindicated. COMAR 10.06.04 The physician, health officer, or the designated representative of the health officer, shall indicate in the statement whether the contraindication is permanent or temporary. If the contraindication is temporary:
1. The physician, health officer, or designated representative of the
health officer, shall provide in the statement an estimate of when the
be obtained by the student.
E. A student, whose parent/guardian objects to immunization on the grounds that the immunization conflicts with their bona fide religious beliefs and practices, is exempt from the requirement to present a physicians certificate of immunization. In order for the student to be admitted to school, the parent/guardian must sign the religious objection statement found on DHMH Immunization Certificate # 896. This exemption does not apply when the Health Officer declares an emergency or epidemic of disease.
F. Cases of contraindication and/or waivers of the regulation based on religious objections must be reported to the Department of Pupil Services.
G. Annually, by November 15 the Department of Pupil Services must submit to the Maryland Department of Health and Mental Hygiene DHMH # 1013, Annual Report of School Immunization Status. The report must include the number of students enrolled who have an exemption to immunizations on medical and religious grounds. A copy of this annual report should also be sent to the Garrett County Health Officer. (See Appendix C) School Nurses or their designees shall complete DHMH # 1013 for each school and submit it to Garrett County Department of Pupil Services no later than November 1 of each year.
H. Immunization records shall be made available to the Garrett County Health Officer or designee as needed for review when necessary.
II. Administrative Procedures for Children Enrolling/Enrolled in A Pre-School Program, or Kindergarten through Twelfth Grade
A. The child’s parent/guardian is responsible for supplying the school with proof of age-appropriate immunizations at the time of enrollment.
B. All students enrolling/enrolled in the Garrett County Public Schools must have the Maryland Department of Health and Mental Hygiene form #896, Maryland Immunization Certificate completed at the time of school entrance or transfer from another school.
1.The principal, school nurse, or designee shall be responsible for certifying that it contains the following information:
2.If the student’s immunization records are found not to be in compliance, the principal must inform the parents/guardians of the immunization regulations and direct them to their family doctor or the Garrett County Health Department. Parent notification letter, PS40, will be used for this purpose. (Attachment D)
3.After certification of the immunizations, the school nurse or designee will attach the immunization certificate (DHMH # 896) to the student’s Student Record Card (SR5) (See Appendix E) along with any printed or computer generated immunization records. Immunization status and pertinent information can be documented on the student’s SR5 card side two. This should be maintained in the student’s health record as part of the student=s cumulative record.
4.Medical contraindications, temporary or permanent, must be documented on the student’s immunization certificate (DHMH # 896) and signed by the physician or health official.
5.Religious wavers must be signed by the student’s parent/guardian on the appropriate section of the immunization certificate (DHMH # 896).
6.The school nurse or designee will compile a list of students with medical and religious wavers. A copy is to be maintained at the school and a copy sent to the Department of Pupil Services.
B.A school principal or other individual in charge of a school shall temporarily admit a student to, or retain a student in a pre-school or school if the student is:
1. Homeless, or
a. Receive a required immunization;
C.The date of the appointment may not be later than 20 calendar days following the date the student was temporarily admitted or retained.
D.The school Nurses assigned to the schools will continually check the immunization records of all students who are not in compliance. When such a student has not followed the prescribed immunization schedule, the School Nurse will notify the principal. The parents/guardian shall be notified in writing by use of notification letter PS 40.
E.A school principal or other individual in charge of a school shall exclude a student who has been temporarily admitted or retained on the next school day following the appointment date if a student, parent, or guardian, fails to provide evidence of required immunizations or if a student reaches the twenty (20)-calendar days limit without showing proof of being in compliance, the student may not be permitted to attend school. The principal must inform the student and, in the case of a minor child, his parents/guardians of the exclusion.
1.The principal shall inform the Department of Pupil Services by using a suspension form with the words “suspension” marked out and “exclusion”
White copy – Child’s health file
Source: COMAR 10.06.0
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Table of Contents
Pupil Services 431.41
Revised 8/13/81,7/14/88, 5/11/99, 7/13/00
Revised 6/13/06 KL