Who: 4 years -old by September 1, Kindergartners, any other first- time 
          entrants
          (4 years* through 12 grade)

 When: Within 120 days of admission

 Who: 1st, 3rd, 5th, and 7th graders

 When: Anytime within the school year ( preferably with first semester)

Spinal screening is designed to detect unnatural curvatures of the sprine.

Who: Girls will be screened two times, once at 10 and again 12.  Boys will be screened one time at age 13-or 14.

When: Spinal Screenings will take place throughout the school year.

Acanthosis Nigricans (AN) is a skin discoloration that may indicate high levels of insulin in the blood which results from insulin resistance. 

Insulin resistance can create a potential risk for the development of Type 2 Diabetes.

Who is screened: Student in grades 1,3,5 and 7

When: At the Time of the Vision and Hearing Test.  Throughout the school year.

A student is exempt from screening if it conflicts with the tenets and practices of a recognized church or religious denomination of which the student is an adherent or a member.  The minor student's parent, managing conservator, or guardian must submit an affidavit stating the objections to screening.   

This affidavit shall be submitted to the school nurse on or before the screening procedure each year the screening is performed.

Each school nurse will submit an annual report of the screening results to the Health Services Director.  Results are submitted to the Texas Department of State & Health Services annually.