- Burbank Unified School District
- Health Information and Required Immunizations for Enrollment
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Health Information
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Immunizations Required for Enrollment
IMMUNIZATION REQUIREMENTS FOR 2019-2020
FOR MORE INFORMATION ON REQUIRED IMMUNIZATIONS, PLEASE VISIT:
http://www.shotsforschool.org/
FOR ASSISTANCE IN OBTAINING IMMUNIZATIONS, PLEASE VISIT YOUR PRIMARY CARE PHYSICIAN OR THE FOLLOWING WEBSITES:
http://www.aichc.org/practice-overview/contacts-hours-and-locations/
https://www.valleycommunityhealthcare.org/
https://www.costco.com/warehouse-locations/burbank-ca-677.html
https://www.cvs.com/minuteclinic/clinics/California/Burbank/511-Hollywood-Way/9795/ib
http://www.publichealth.lacounty.gov/
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Permission to Dispense Medication Form
MEDICATION OF ANY KIND, INCLUDING OVER THE COUNTER MEDICATION AND TOPICAL MEDICATION, MUST BE ACCOMPANIED BY A MEDICATION ASSISTANCE FORM. PLEASE USE ONE FORM PER MEDICATION.
Medication Assistance Form
English/Spanish * English/Armenian
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Health Exam Requirement and Form
HEALTH EXAM REQUIREMENT
A health examination is required by State Law for first grade students. This health checkup is recommended at the kindergarten level but not earlier than 18 months before admission to the first grade.
This examination includes a nutritional history, a complete physical examination, tests for anemia, urine analysis, tuberculosis screening, and vision and hearing screening. Necessary immunizations may be obtained at the same time.
You may comply with the law in one of these ways:
- Visit your doctor and ask your doctor to complete the attached “Report of Health Examination for School Entry” and return the completed form to your school upon enrollment.
- If you are a Medi-Cal beneficiary and do not have a private doctor, you may call any of the clinics or doctors on the attached “Providers List” for an appointment. Low income families whose children participate in the free school lunch program, may qualify for free health examinations.
- If for some reason you do not wish your child to receive the required examination, please consult the nurse assigned to your school site to discuss a “Waiver of Health Check-Up for School Entry” form.
Your child may be excluded from school as of December 1 of the first grade year, unless we receive documentation that the above
requirement has been met. For information on required immunizations, please visit www.shotsforschool.org.
For additional information or questions you may have regarding this program, please contact the nurse assigned to your school site or call Burbank Unified Health Services at (818) 729-4504.
Health Exam Form
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Oral Health Assessment Information and Form
ORAL HEALTH ASSESSMENT
A dental examination is required by State Law for kindergarten students (Education Code 49452.8). This dental check up is recommended at the kindergarten level but not earlier than 12 months before admission to kindergarten (or first grade if this is the first school admission) and not later than May 31. The law specifies that the assessment must be done by a licensed dentist or other licensed or registered dental health professional.
Take the attached Oral Health Assessment/Waiver Request form to the dental office as it will be needed for your child’s check-up. If you cannot take your child for this required assessment, please indicate the reason for this in Section 3 of the form. You can get more copies of the necessary form at your child’s school or online from the California Department of Education’s Web site at http://www.cde.ca.gov/ls/he/hn/ California law requires schools to maintain the privacy of students’ health information. Your child’s identity will not be associated with any report produced as a result of this requirement.
The following resources will help you find a dentist and complete this requirement for your child:
- Medi-Cal/Denti-Cal’s toll-free number or Web site can help you to find a dentist who takes DentiCal: 1-800-322-6384; http://www.denti-cal.ca.gov
- Medi-Cal For Families’ toll-free number can help you to find a dentist who takes Medi-Cal For Families insurance: 1-(800)-880-5305
If you do not have dental insurance or cannot afford to visit a dentist and you would like assistance to complete this assessment, please contact the Kids Community Dental Clinic at (818) 841-8010, located at 400 W. Elmwood Avenue, Burbank, CA 91506 (just west of McKinley Elementary School at the cross streets of Alameda and Victory).
Remember, your child is not healthy and ready for school if he or she has poor dental health! Here is important advice to help your child stay healthy:
- Take your child to the dentist twice a year.
- Choose healthy foods for the entire family. Fresh foods are usually the healthiest foods.
- Brush teeth at least twice a day with toothpaste that contains fluoride.
- Limit candy and sweet drinks, such as punch or soda. Sweet drinks and candy contain a lot of sugar which causes cavities and replaces important nutrients in your child’s diet. Sweet drinks and candy also contribute to weight problems which may lead to other diseases, such as diabetes. The less candy and sweet drinks, the better!
Baby teeth are very important. They are not just teeth that will fall out. Children need their teeth to eat properly, talk, smile, and feel good about themselves. Children with cavities may have difficulty eating, stop smiling, and have problems paying attention and learning at school. Tooth decay is an infection that does not heal and can be painful if left without treatment. If cavities are not treated, children can become sick enough to require emergency room treatment, and their adult teeth may be permanently damaged.
Many things influence a child’s progress and success in school, including health. Children must be healthy to learn, and children with cavities are not healthy. Cavities are preventable, but they affect more children than any other chronic disease.
If you have questions about the new oral health assessment requirement, please contact your school nurse or Burbank Unified School District Health Services at (818) 729-4504.
Oral Health Assessment Form
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PE Medical Exemption Form
If your student has an injury that requires a temporary exemption from Physical Education class (PE), please have your physician complete the form below and submit it to your school nurse's office.
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Student Clearance to Return to School after Injury
Students returning to school following an injury MUST have written authorization from their doctor/health care clinic allowing them to wear or use the following:
- Cast
- Crutches
- Sling
- Brace
- Ace bandage
- Sutures
- Ongoing wraps or braces for PE
The doctor/health care clinic must also state any restrictions necessary for the safety of your child while at school.
Thank you
Health Office
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Allergic Reactions and Diabetic Information
Anaphylaxis (Allergic Reaction) Information
Peanut Allergy Information for Parents
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Smoke Free and Fragrance Free Information
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Indoor Air Quality
DEPARTMENT OF STUDENT SERVICES
1900 WEST OLIVE AVENUE · BURBANK · CALIFORNIA · 91506
TELEPHONE (818) 729-4467, (818) 729-4502 · FAX (818) 729-4576
DATE: August 22, 2019
TO: School Site Administrators & Staff
FROM: Stacy Cashman, Director of Student Services
Lenora Aguilera, BUSD Head Nurse
RE: Fragrance Free School Environments
In order to follow Board Policy and ensure good indoor air quality, we would like to remind everyone that fragrances and infusion products can cause allergic reactions, breathing difficulties and trigger other medical conditions for some children and adults.
Per our Board Policy and Administrative Regulation 3154, staff and students are asked to refrain from bringing common irritants such as the following:
- Furred or feathered animals
- Stuffed toys that may collect dust mites
- Scented candles, incense, or air fresheners or diffusers
- Perfume or cologne, scented lotion or hair spray, nail polish or nail polish remover
- Other personal care products that are not fragrance-free in classrooms or other enclosed areas or buildings.
We know that, in close environments with many people, certain natural smells may occur. Unfortunately, efforts to cover up naturally occurring odors may cause someone’s asthma or allergies aggravation.
We appreciate everyone’s efforts to assist us in this matter.