Welcome to Health Services Room 16

Health Requirements to Enter School

STATE LAW requires that all new students in Hawaii

must have the following documentation by

the First day of School.

Student Health Requirements

Hawaii State Law requires that all new students in Hawaii must have

the following documentation by the First Day of School:

A valid Tuberculosis (TB) Clearance:

TB skin test must be done within 12 months before first attending school in Hawaii.

Documentation of TB test must include:

dates of administration & reading;

results in millimeters (mm);

0mm to 9mm aacceptable for school entry;

10mm or greater written documentation ;

(including date performed and clinic location)

of a negative chest x-ray must be provided;

Signature or stamp of Hawaii Department of Health,

or a US licensed MD, DO, APRN, or PA clinic

If NO TB clearance, student cannot enter school on first day

Completed F – 14 Student Health Record:

Physical Examination must be done within 12 months prior to first attending

school in Hawaii and signed by a US licensed MD, DO, APRN, or PA.

Immunization requirements:

Grades K – 12:

5 DTap, 4 Polio, 3 Hepatitis B, 2 MMR and

1 or 2 Varicella (2nd dose of Varicella is required

if 1st Varicella was given on or after 13th birthday)

Must be signed or stamped by a US licensed MD, DO, APRN, PA or clinic

Students who have not completed the physical examination and immunizations by the first day of school may be allowed 3 month provisional entrance only with a medical appointment card from a health care provider. If NO written evidence, student cannot enter school on the first day

Student Health Requirements

Name: Rm. 16 Student Health Services
Phone: 808-305-0243; 808-254-7907 (fax)