Blake Middle School 24 Pound Street Medfield, MA 02052 (508) 359-2396 x 2021 nurse's direct line (508) 242-8554 Fax (508) 359-0134 HEALTH INFORMATION for New Students Entering Blake Middle School Grades 6 - 8 REQUIREMENTS Each new student to the Medfield school system must provide the following before starting classes: - Documentation of current immunizations, with dates - Documentation of a recent physical (must be updated every year) (If awaiting an appointment with a health care provider, submit the completed form as soon as possible, generally within a month of starting classes) If new student is entering Grade 7: Immunizations required by Massachusetts Department of Public Health: - Hepatitis B vaccine (at least the first dose of the 2 or 3 dose series) - Td (Tetanus) booster, if more than 5 years have elapsed since last dose - Physician-certified reliable history of chicken pox (varicella)or evidence of immunity OR 1-2 doses of Varivax vaccine (depending on child��s age) - A second measles-containing vaccine (i.e., 2nd MMR) If the student is interested in interscholastic sports: A written MD or NP report of a physical examination, completed every 13 months, is required for all interscholastic sports (football, field hockey, volleyball, basketball, baseball, softball, track and field). MIAA regulations require the exam dated within the calendar year of the first day of practice. The physical will expire 13 months after the date. In order for the student to retain eligibility after that date, a new physical form needs to be submitted. Tricia Williams School Nurse Please contact Tricia Williams in the Blake Health Office: 508-359-2396 or direct at 508-242-8554