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WELLNESS 7 IT’S TIME FOR A BACK-TO-SCHOOL CHECKUP! Summer is coming to an end, which means now is the time to schedule your child’s well-child checkup appointment. With timely and consistent checkups, you are preparing your child for a great school year and overall good health. Here are top reasons you should schedule your child’s well-child checkup appointment: 1) Catch problems early Regular checkups help prevent illness. Some illnesses are not easy to see. However, if your child does have a sign of illness, your child’s doctor can treat it right in the office and recommend steps to take at home to keep it from getting worse. 2) Get tips on healthy living Your child’s doctor will provide health education specific to your child’s age, which includes information about the benefits of healthy lifestyles and practices that promote injury and disease prevention. 3) Prevent absences Illnesses can cause your child miss school and you to miss work. Getting your child in for a checkup before the school year stars can prevent unnecessary absences. 4) Get vaccines and other checkup requirements for school Regardless of what grade your child is in, there are always some vaccines that your child needs before school starts. During the checkup, your child’s doctor will evaluate and recommend vaccines needed based on your child’s age and school requirements. If your child is participating in sports or is planning to participate in sports, he/she will need a sports physical exam. Make sure to ask the doctor for one during the well-child checkup. Below is the chart that summarizes the 2019 Immunization requirements for schools in the state of Texas. 2019 - 2020 Texas Minimum State Vaccine Requirements for Students Grades K - 12 This chart summarizes the vaccine requirements incorporated in the Texas Administrative Code (TAC), Title 25 Health Services, §§97.61-97.72. This document is not intended as a substitute for the TAC, which has other provisions and details. The Department of State Health Services (DSHS) is granted authority to set immunization requirements by the Texas Education Code, Chapter 38. IMMUNIZATION REQUIREMENTS Vaccine Required (Attention to notes and footnotes) A student shall show acceptable evidence of vaccination prior to entry, attendance, or transfer to a public or private elementary or secondary school in Texas. Minimum Number of Doses Required by Grade Level Grades K - 6th K 1 2 3 4 5 6 Grade 7th Grades 8th - 12th 8 9 10 11 12 7 For K – 6th 3 dose Diphtheria/Tetanus/Pertussis1 (DTaP/DTP/DT/Td/Tdap) 5 doses or 4 doses primary series and 1 booster dose of Tdap / Td within the last 5 years Polio1 Measles, Mumps, and Rubella1, 2 (MMR) Hepatitis B2 Varicella1, 2, 3 Meningococcal1 (MCV4) Hepatitis A1, 2 2 doses 4 doses or 3 doses 2 doses 3 dose primary series and 1 booster dose of Tdap / Td within the last 10 years grade: 5 doses of diphtheria-tetanus-pertussis vaccine; 1 dose must have been received on or after the 4th birthday. However, 4 doses meet the requirement if the 4th dose was received on or after the 4th birthday. For students aged 7 years and older, 3 doses meet the requirement if 1 dose was received on or after the 4th birthday. For 7th since the last dose of tetanus-containing vaccine.* For 8th since the last dose of tetanus-containing vaccine.* *Td is acceptable in place of Tdap if a medical contraindication to pertussis exists. For K – 12th For K – 12th the 4th birthday. However, 3 doses meet the requirement if the 3rd was received on or after the 4th birthday. grade: 2 doses are required, with the 1st dose received on or after the 1st birthday. Students vaccinated prior to 2009 with 2 doses of measles and one dose each of rubella and mumps satisfy this requirement. For students aged 11 – 15 years, 2 doses meet the requirement if adult hepatitis B vaccine (Recombivax® ) was received. Dosage 3 doses 2 doses 1 dose (10 mcg /1.0 mL) and type of vaccine (Recombivax® documented. If Recombivax® is required. For K – 12th grade: 2 doses are required with the 1st or after the 1st birthday. For 7th – 12th vaccine is required on or after the student’s 11th For K – 10th NOTE: Shaded area indicates that the vaccine is not required for the respective grade. ↓ Notes on the back page, please turn over.↓ ) must be clearly was not the vaccine received, a 3-dose series dose of received on grade, 1 dose of quadrivalent meningococcal conjugate birthday. Note: If a student received the vaccine at 10 years of age, this will satisfy the requirement. grade: 2 doses are required, with the 1st after the 1st birthday. Rev. 03/2019 CommunityHealthChoice.org dose received on or grade: 4 doses of polio; 1 dose must be received on or after dose Notes grade: 1 dose of Tdap is required if at least 5 years have passed – 12th grade: 1 dose of Tdap is required when 10 years have passed

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