IMMUNIZATION REQUIREMENTS FOR 2022-2023

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FOR INFORMATION ON REQUIRED IMMUNIZATIONS, PLEASE VISIT:    http://www.shotsforschool.org/

PLEASE NOTE: 

• Schools may no longer accept any type of written statement from a licensed physician. Instead, physicians must complete a standardized exemption form that contains specified information, and they must submit those forms electronically, both to the school and also the California Immunization Registry.  Unless a standardized medical exemption form is on file, schools may not admit students who are not fully immunized on the basis of a medical exemption. 
• Exemptions based on temporary medical conditions will continue to be valid for only one year. Exemptions based on permanent medical conditions will be valid for only one grade span.  When a child with a permanent medical condition completes one grade span and seeks to enroll in the next, physicians must complete a new exemption form.
• The California Department of Public Health will create a monitoring system that includes review of schools whose overall immunization rates are less than 95 percent; schools that do not provide annual reports of vaccination rates; and physicians who submit more than five medical exemptions in one year, starting January 1, 2020.

Here is the latest guidance from LAC DPH:

• Guidance to Maintain Childhood Immunization During the COVID-19 Pandemic

Guidance to Maintain Adult Immunizations and Immunizations for Pregnant Women During the COVID-19 Pandemic

Susan Chaides │Project Director III │Community Health & Safe Schools

Division of Student Support Services │Los Angeles County Office of Education CHSS@lacoe.edu│562-922-6233

To subscribe to the School Health Programs Bulletin click here. To unsubscribe, click here.

FOR ASSISTANCE IN OBTAINING IMMUNIZATIONS, PLEASE VISIT YOUR PRIMARY CARE PHYSICIAN OR THE FOLLOWING WEBSITES OR LOCATIONS:

ALL INCLUSIVE HEALTH CENTER INFORMATION

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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/

LAC DPH clinics http://publichealth.lacounty.gov/chs/phcenters.htm

No-cost and low-cost immunization providers: http://publichealth.lacounty.gov/ip/clinics.htm 

Also see this handout: http://publichealth.lacounty.gov/ip/IZclinics/PROVIDERS_REFERAL_LIST_06_07_2018.pdf

Dial 2-1-1 or visit www.211la.org 

 

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

 

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

English/Spanish

ORAL HEALTH ASSESSMENT

To make sure your child is ready for school, California law, Education Code Section 49452.8, now requires that your child have an oral health assessment (dental check-up) by May 31 in either kindergarten or first grade, whichever is his or her first year in public school. Assessments that have happened within the 12 months before your child enters school also meet this requirement. The law specifies that the assessment must be done by a licensed dentist or other licensed or registered dental health professional.

Take the 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. 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 Denti-Cal: 1-800-322-6384; http://www.denti-cal.ca.gov. For help enrolling your child in Medi-Cal/Denti-Cal, contact your local social service agency at (fill in appropriate local contact information, available at http://www.denti-cal.ca.gov/WSI/Bene.jsp?fname=ProvReferral.)
• Healthy Families’ toll-free number or Web site can help you to find a dentist who takes Healthy Families insurance or to find out if your child can enroll in the program: 1-800-880-5305 or http://www.benefitscal.com/.
• For additional resources that may be helpful, contact your local public health department at (fill in appropriate local contact information, available at http://www.dhcs.ca.gov/services/medi-cal/Pages/CountyOffices.aspx).

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 (fill in name of district personnel or office responsible for the program, telephone number and/or e-mail address).

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 

English  *  Spanish  *  Armenian

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.

PE MEDICAL EXEMPTION FORM

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

Physician Form

Customer	Site	AED	AED Location
Burbank Unified School District	E - Walt Disney	LIFEPAK CR+ (auto)	Office Hallway next to Exit to Quad Area
Burbank Unified School District	E - T Edison	LIFEPAK CR+ (auto)	Nurse's office near restroom
Burbank Unified School District	E - Bret Harte	LIFEPAK CR+ (auto)	Hallway next to main office
Burbank Unified School District	E - T Jefferson	LIFEPAK CR+ (auto)	Hallway between the teachers' workroom and main office.
Burbank Unified School District	E - William McKinley	LIFEPAK CR+ (auto)	Back Office next to Yard Supervisor Supplies
Burbank Unified School District	E - Joaquin Miller	LIFEPAK CR+ (auto)	Main office on the wall outside Curriculum Specialist office
Burbank Unified School District	E - RL Stevenson	LIFEPAK CR+ (auto)	Front Office / Nurses' Wall Space
Burbank Unified School District	HS - Burbank	LIFEPAK CR+ (auto)	Health Office Next to Fire Extinguisher
Burbank Unified School District	HS - Burbank	LIFEPAK CR+ (auto)	Hallway in Gym Bldg
Burbank Unified School District	HS - Burbank	LIFEPAK CR+ (auto)	Athletic Trainers' Office
Burbank Unified School District	HS - Burbank	LIFEPAK CR+ (auto)	Mobile Unit (47651278)
Burbank Unified School District	HS - John Burroughs	LIFEPAK CR+ (auto)	Nurses' Hallway right of Health Office door
Burbank Unified School District	HS - John Burroughs	LIFEPAK CR+ (auto)	Main Gym Foyer- left of sink counter
Burbank Unified School District	HS - John Burroughs	LIFEPAK CR+ (auto)	Building 1 - 1st Floor outside Auditorium
Burbank Unified School District	HS - John Burroughs	LIFEPAK CR+ (auto)	Athletic Trainer's Office
Burbank Unified School District	HS - John Burroughs	LIFEPAK CR+ (auto)	Mobile Unit (47651277)
Burbank Unified School District	Horace Mann Child Care	LIFEPAK CR+ (auto)	Second Building - Office
Burbank Unified School District	CDS	LIFEPAK CR+ (auto)	By Restrooms in Office
Burbank Unified School District	Facilities	LIFEPAK CR+ (auto)	Shop Hallway next to fire extinguisher

Anyone exposed to people or animals with monkeypox should monitor their health or be monitored for signs or symptoms consistent with monkeypox for 21 days after their last exposure. Individuals exposed to the monkeypox virus can continue their routine daily activities (e.g., go to work or school) as long as they do not have signs or symptoms consistent with monkeypox.

Monkeypox positive case and isolation instructions:

http://publichealth.lacounty.gov/acd/docs/MonkeypoxIsolation.pdf

 

Testing information if someone thinks they have monkeypox:

http://publichealth.lacounty.gov/media/monkeypox/docs/Monkeypox_How_to_Get_Tested_Flyer.pdf

 

Information for individuals exposed to Monkeypox:

http://publichealth.lacounty.gov/acd/docs/MonkeypoxGuidanceforExposedIndividuals.pdf

 

Monitoring and risk assessment for exposed persons from CDC:

https://www.cdc.gov/poxvirus/monkeypox/clinicians/monitoring.html#anchor_1660156339101

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FLU INFORMATION GUIDE FOR PARENTS

WHEN TO RETURN TO SCHOOL

Anaphylaxis (Allergic Reaction) Information

Peanut Allergy Information for Parents

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Hypoglycemic (Low Blood Glucose) Information

Hyperglycemia (High Blood Glucose) Information

Please select the image below for our form to request special meal accommodations as set for by the USDA.

OTHER HELPFUL INFORMATION

 

LICE INFORMATION - English - Spanish - Armenian

MRSA - Skin Infection Information

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