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Health Requirements


In accordance with the Kentucky Cabinet for Health Services, 902 KAR 2:060, Section 2, immunizations are required for attendance at day-care centers, certified family child-care homes, other licensed facilities that care for children, preschool programs, and school must have the Kentucky Immunization Certificate, EPID-230, (an original, not a copy, is requested) on file within two weeks of enrollment. The certificate must be signed by any duly licensed medical or osteopathic physician, nurse practitioner, or local health department provider; and must show dates all vaccines were administered. Please note that immunization requirements changed as of July 1, 2011.  Please refer to:  http://chfs.ky.gov/dph/epi/School+and+Childcare.htm for specific information.

Generally the required vaccines and doses are as follows:

  • Haemophilus influenzae type b conjugate (Hib) - Children (under five years of age) attending preschool programs are required to have Hib vaccine. Note: Completed 4 dose series with one dose 15 months of age or later OR at least one dose after 15 months of age.
  • Measles, Mumps, Rubella (MMR) - One dose (1) of MMR on or after the first birthday, AND a second dose of MMR containing vaccine is required for all students and Preschool or Head Start children who have reached their 4th birthday.
  • Hepatitis B -Three (3) doses of Hepatitis B vaccine are required for:
    • Students in Preschool, Head Start, Kindergarten through 6th grade and students whose birth date is 10/1/92 or later.
  • Diphtheria, Tetanus, Pertussis (DTP, DTaP, Td, Tdap) - The minimum requirements are four (4) doses with one (1) dose on or after the 4th birthday and a minimum of six (6) months between the last two (2) doses. For 6th grade entry, age 11 or 12 years old, one dose of Tdap is required.
  • Polio (OPV/IPV) -The minimum requirements are three (3) doses with one (1) dose on or after the 4th birthday, and a minimum of four (4) weeks apart, but preferably six (6) months, between the last two (2) doses.
  • Varicella (Chickenpox) - One dose, given on or after age 12 months is required and a second dose is required for all students and Preschool or Head Start children who have reached their 4th birthday unless a physician states that the child has had chickenpox disease.
  • Pneumococcal (PCV) Vaccine- four (4) doses required with one (1) dose on or after 12 months of age.
  • Meningococcal (MCV) Vaccine- one (1) dose required at 6th grade entry, students 11 years of age.

Preventative Health Care Examination Requirements:

A completed Preventative Health Care Examination form for Kentucky school children is required within two (2) months after the first day of attendance in a Kentucky School. The examination may be performed by a licensed physician, ARNP(nurse practitioner), physician assistant, or EPSDT provider from any state. This form must be submitted as proof of an examination that has been given no earlier than one (1) year prior to or sixty (60) days after the first day of attendance in a Kentucky School.

Eye Examinations

Students entering school for the first time, ages three, four, five or six years old only, should have a Kentucky Vision Examination form on file at the school they are attending no later than January 1 of the first year that the child is enrolled in a public school, public preschool or Head Start. The examination must be completed by an optometrist or ophthalmologist.

Kentucky Eye Examination Requirement
for First Time Entry Into Public Schools Form (pdf)

(704 KAR 4:020)

Dental Examination

Kentucky law, KRS 156.160(i), requires proof of a dental screening or examination by a dentist, dental hygienist, physician, registered nurse, nurse practitioner, or physician assistant. This evidence shall be presented to the school no later than January 1 of the first year that a five (5) or six (6) year old is enrolled in public school.

Dental Screening Form (pdf)

Tuberculosis Testing

Effective July 15, 1998, a TB skin test is no longer required for entry into Kentucky schools. However, selective TB testing may be carried out on notification of the local health department. Parents should report all illnesses to the school, and parents are urged to call the school immediately to report a diagnosed, contagious disease so that provisions can be made for the protection of other students.

Health Concerns

Students with health concerns such as epilepsy, diabetes, asthma, allergies, heart disease, etc. need to have an emergency information card on file in the school’s office. In addition, physician’s authorization forms may need to be completed for some health concerns. An appropriate Primary Care Provider (PCP) Authorization Form should be completed by the healthcare provider and the parent/guardian. Parents are urged to keep emergency phone numbers up-to-date at all times. For more information call the office of Health Services at 485-3387.


Students who require medication during school hours must have a signed and notarized Authorization to Give Prescription/Over the Counter Medication form on file. The Authorization to Give Over the Counter Medication form also requires a healthcare provider's signature. The medication must be sent to school in its original container with the prescription label attached. Medications should be brought to school by parent/guardian and counted with a trained JCPS staff member. If unable to personally bring the medication to school, the parent/guardian must send the medication in a sealed envelope with the student's name written on the outside, and a phone call should be made to school staff to inform them the student is bringing a medication to school. Medication should be kept and supervised by school personnel. Parents are urged to consult their physicians to schedule medication to be given before and/or after school. Click here for authorization forms.

2014-2015 PCP and Medication Authorization Forms will be available on the website after the last day of the 13-14 school year. If you need a 14-15 form before then please contact Health Services at 485-3387. 14-15 PCP forms will also be mailed out to all students with current 13-14 PCP forms on file, if you don't receive one by mid June, please contact Health Services at 485-3387.

Screening Programs

During the school year, elementary school students participate in vision and hearing screenings. Middle school students, who have parent consent, are screened for scoliosis. Schools may also conduct head lice screenings as needed. Parents who do not want their child to participate in such screenings should notify the school in writing and be prepared to present evidence of screening by their personal health care provider.

For More Information Contact:
Jefferson County Public Schools
School Health Coordinator, Office of Health Services

Telephone (502) 485-3387
Fax (502) 485-3670

The form listed above is available as standard PDF file. To use the PDF format, you will need the Adobe Acrobat Reader, which is freely downloadable from the Adobe web site by clicking on the 'Get Acrobat!' icon. get acrobat reader

Telephone (502) 485-3387
Fax (502) 485-3670
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