Nursing & Health Services

Director of Student Services

Lisa M. Moy

Requirements for School Entry

Immunization requirements are prescribed by the School Immunization Law, Chapter 76, Section 15 of the General Laws of the State of Massachusetts allows for the school district to exclude any child from school whose immunizations are not up to date.

Immunizations are reviewed by the School Nurse. In the event of missing or incorrect information, it is important to address the error/omission to so that your child may attend school.

Massachusetts Department of Health Regulation 105 CMR 220.00 requires all students to be immunized before they can attend school.

“No student shall attend a preschool, elementary school, or secondary school program without a certificate of immunization documenting that the child has been successfully immunized in accordance with current Department required immunization schedules, developed in accordance with the recommendations of the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention, or any successor committee serving a comparable function.”

105 CMR 220.00: Immunization of students before admission to school

Requirements apply to all students including individuals from another country attending or visiting classes or educational programs as part of an academic visitation or exchange program. Requirements apply to all students, even if over 18 years of age.

A certified record of immunization from your child’s doctor is required for entry into school.

Certificate of Immunization means either:

  • a form or letter signed and dated by a physician, nurse practitioner, physician assistant, or designee which specifies the month and year of administration and the type/name of the vaccine(s) administered to the student; or
  • a dated report from the Massachusetts Immunization Information System which specifies the month and year of administration and the type/name of the vaccine(s) administered to the student.

Certificate of Immunization

Exemptions apply where:

  • the student, or the student’s parent or guardian if the student is a minor, provides written documentation that he or she meets the standards for medical or religious exemption set forth in M.G.L. c. 76, § 15;
  • the student, or the student’s parent or guardian if the student is a minor, provides appropriate documentation, including a copy of a school immunization record, indicating receipt of the required immunizations; or
  • the student provides written documentation that he or she is immune, as defined in Department guidelines.

Students who are homeless, in foster care/DCF, or a child of a military member may immediately enter school and submit their certificate of immunization within 30 days.

All students entering Grades 7, 8, 11, and 12 will need the meningococcal conjugate vaccine, MenACWY (brand names Menveo or Menactra), for school entry.

Immunization Requirements 2023-2024 school year

The Massachusetts Department of Public Health Regulation 105 CMR 200 requires a physical examination within one year before the entrance to the school or within 30 days after school entry for the following increments:

  • Any new students entering the district. 
  • Students entering grades 7 and 10
  • Students under 16 and over 14 years of age requesting employment certificates.
  • Annually prior to participation in school-sponsored sports. 
    • At the high school, a student participating in interscholastic athletics must submit a current physical examination. According to Massachusetts Interscholastic Athletic Association Guidelines, the physical must be dated within thirteen months of the first day of practice to qualify for each sport season. If a student’s physical expires during the current sports season a new physical needs to be submitted. 

MA Health Record Form

Permission for the School Nurse to Administer Over The Counter (OTC) Medications

Each school year, students must be registered in the Health Portal called SNAP.

SNAP maintains King Philip’s students’ health records. If you registered last year, you must re-register this year. The registration is your authorization which needs to be renewed yearly.

  • Please log onto to register. If the page does not load, please try another browser.
  • Passwords are case-sensitive. If the password does not work, then click on “forgot password” (on the right).
  • Please ensure you use the backslash when entering your child’s birthday.
    Once the email address is entered, a password reset link will be emailed to you (will come from
  • You should receive the reset link within 10 minutes.
  • If the email does not arrive, please check your spam or junk folder. You can also try again to reset your password.
  • Locate the medication tab in blue and click on it after checking off all the over-the-counter meds that you allow your child to receive at Middle School. Click submit/done. A red screen will appear confirming that your permission to administer meds to your child has been uploaded.

Any additional questions, please email the Middle School Health Office.

The Flu: A Guide for Parents

Food Allergy & Anaphylaxis Action Plan

Asthma Action Plan

Diabetes Action Plan


Medication Administration in the School Setting

The King Philip Regional School District’s Medication Policy complies with state guidelines for medication administration and has been put in place to provide for the health and safety of students requiring medication administration during the school day.

All medication should be delivered to the school in a pharmacy or manufacturer-labeled container by you or your designated responsible adult. Please ask your pharmacy to provide separate bottles for school and home. No more than a thirty-day supply of medicine should be delivered to the school.

Medication Procedures
Medication Order Form
Parent Authorization for Prescription Medication Administration
Medication Administration Plan


Vision, Hearing, Postural, Body Mass Index (BMI), and Brief Intervention (SBIRT) screenings will be done throughout the school year. These screenings are mandated (required) by the Massachusetts Department of Health. If you do not want your child to participate, please notify the nurse in writing. Parents/guardians will be notified of any problems that necessitate a medical follow-up.

Vision is tested in the year of school entry, grades Kindergarten – 5th, grade 7, and grade 9. Hearing is tested in the year of school entry, grades Kindergarten – 3rd, grade 7, and grade 9.

The State of Massachusetts mandates that all students in grades 5 through 9 be screened for scoliosis or curved spine.

Height and weight are measured in grades 1, 4, 7, and 10. Height and weight measurements are used to calculate body mass index (BMI). Information is kept confidential.

SBIRT is an approach to the delivery of early intervention and treatment to people with substance use disorders and those at risk of developing these disorders. The State of Massachusetts mandates that all students in grades 7 and 9 be screened.


Head Injuries and Concussions

A concussion is a type of Traumatic Brain Injury that changes the way the brain normally works. A concussion may result from a direct blow or indirect blow to the head or a jolt of the head from a fall or blow to the body that causes the head and brain to move rapidly back and forth. The potential for a concussion is greatest during activities where collisions may occur: during sports activities, physical education class, or playground time. Concussions may be life-altering or life-threatening if not treated correctly or aggressively. 

If your child has been diagnosed with a concussion, please contact the Health Office. Prior to returning to classes, students must meet the physical parameters set by their doctor and provide written documentation from the Health Care Provider, including confirmation of the diagnosis and any necessary accommodations for the school day, including restrictions for PE/Wellness and athletic participation. Additionally, the student must complete the Post Concussion Assessment before attending regularly scheduled classes.

The school nurse will discuss details of the support available to your child when you call to discuss the head injury.

Important Documents

Adopted 2020 – The purpose of this policy is to provide information and standardized procedures for persons involved in the prevention, training management, and return to activity decisions regarding students who incur head injuries while involved in extracurricular athletic activities including, but not limited to, interscholastic sports, in order to protect their health and safety as required by Massachusetts law and regulations.

Post-Sports-Related Head Injury Medical Clearance and Authorization Form – The current version of the form provides clearance when a student-athlete is returning from a head injury or concussion. The form must be filled out by a duly licensed healthcare provider after the student is back in the classroom full-time without concussion-related academic accommodation(s) and has completed stages 1-4 of the gradual return to play protocol. A student/athlete’s physician may provide consultation/coordination/supervision for the school’s athletic trainer to complete the form after the student-athlete meets the requirements for clearance.

The Gradual Return to Play Protocol, as detailed on pg. 2 of this document, will be managed and overseen by the school’s athletic trainer.

This form is to report head injuries (other than minor cuts or bruises) that occur during a sports season. It should be returned to the athletic director or staff member designated by the school and reviewed by the school nurse.

This form provides academic accommodations for students who have suffered a diagnosed concussion. This form DOES NOT provide clearance for a student/student-athlete to return to extracurricular activity (athletics, band, etc.).

This form provides the school nurse an updated status of a student who has suffered a head injury and possible concussion. The physician completing this form must select one of the options but may provide any of these options on their organization’s letterhead, provided necessary information is present as an equivalent. This form, or its equivalent, must be provided to the school nurse upon the student returning to school.

This form provides the basic first steps in identifying a potential head injury. It is not mandatory for this form to be completed for every head injury that may occur. It should only be used in non-life-threatening situations.

This form measures a student or student-athletes symptom severity as they progress to symptom-free status. When a student or student-athlete has returned to school after a diagnosed concussion, they are required to fill out this form in the nurse’s office once a day. While not required, this form is also available to assist parents/guardians in tracking symptoms while a student or student-athlete is out of school after a diagnosed concussion.

This sheet provides information and guidance for students, student-athletes, and parents/guardians for the first 24-48 hours after a head injury and potential concussion.

This guide provides excerpts from the Student Concussion Policy and Academic Accommodation Form to a student or student-athlete who has returned to school after a diagnosed concussion.