Roane County Schools
Student Health Screening Notification
Free health screenings will be conducted at your child's school at various times
during the school year. These screenings are mandated by the State of Tennessee for
the purpose of informing parents about any possible changes in their child's health and
allowing them to pursue preventative steps and/or medical advice if necessary. These
screenings will be completed in Grades Pre-k, Kindergarten, 2, 4, 6, 8, and 9.
All information is private and confidential!
In addition to regular vision and hearing screens, the students will also be screened
for Body Mass Index (BMI) which is their height and weight, and for a blood pressure
reading.
If you wish to have your child excluded from the BMI or Blood Pressure screening,
please indicate that on the section below and return it to your school nurse.
If you do not return the form, it means that you are granting permission for
your child to receive the Blood Pressure and BMI screenings.
If you have questions, you may contact your school nurse.
_____________________________________________________________________________________________________________
I wish to have my child EXCUSED from the following screenings:
_________BMI _________Blood Pressure
NOTE: DO NOT RETURN THIS FORM IF YOU ARE GRANTING PERMISSION FOR YOUR CHILD TO BE
SCREENED. ONLY SEND THIS BACK IF YOU WISH TO EXCUSE YOUR CHILD FROM THE BMI or BLOOD
PRESSURE SCREENS.
Student: _____________________________________ School: _________________________
Grade: _________ Classroom Teacher: ____________________________________________
Parent's Name (printed) _____________________________________
Parent's Signature: _________________________________________ Date: __________
