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School Health Assessment (to decline services only)

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School Health Assessments 2025-2026 

Parental Notification

From time to time the school health screenings may be provided through a contract with Faulkton Area Medical Center (FAMC). Screenings that will be provided include:

  • Vision Screening for all students provided by the Lions Eye Bank
  • Hearing Screening for students in K, 2, 5, 7, 9 & all new students
  • Health Assessments for students in Grades K & 5 (height, weight, blood pressure, pulse, ear examination, screening of teeth)
  • Scoliosis Screening for males and females in grades 5 & 7  (Abnormal curvature of the spine is usually first noticed at the beginning of the adeolsecent growth spurt.  Often early detection and appropriate treatment can prevent progression.  The screening procedure takes about 30 seconds and requires the student to remove his/her shirt or blouse in order that the spine can be visually observed by the hospital nurse.  

A child NOT included in the grades/service listed above can be screened with the written consent of the parent/legal guardian.

Parents will be notified on any concerns identified during the health screening so their child can be further evaluated by the provider of the parents' choice.

When a vision or hearing screening indicates additional testing is needed, the nurse can discuss with the school personnel the possible accommodations in the classroom that can be made for the benefit of the child.

Complete the follwing ONLY IF YOU WISH TO DECLINE SERVICES:

Parent's/Guardian's Signature*
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