The School Health Screening Record Manager is a practical tool for organizing and maintaining students’ routine health screening information. It provides a structured record for vision, hearing, dental, physical, and general screening observations.
School staff can enter student details, record screening results, add notes, and identify cases that require rechecking, parent notification, or referral. Follow-up dates and actions can also be documented for easier record management.
The completed screening record can be printed, saved as a PDF, or downloaded for Excel. It is useful for schools, school nurses, health coordinators, and authorized administrative staff.
Note: The tool is intended for screening and administrative recordkeeping and does not provide a medical diagnosis.
Student & School Details
Screening Details
Screening Results
Follow-Up & Actions
Record Snapshot
Review Checklist
For screening and administrative documentation only. This record does not provide a medical diagnosis. Handle student health information according to applicable school privacy requirements.
· School Year
| Student Name | Student ID | ||
|---|---|---|---|
| Grade / Class | Section | ||
| Date of Birth | Screening Date | ||
| Screener / Staff | |||
| Screening Item | Result / Record |
|---|---|
| Height | |
| Weight | |
| Vision | |
| Hearing | |
| Dental / Oral | |
| General Screening |
| Overall Status | Follow-Up Date | ||
|---|---|---|---|
| Parent Notification | Referral | ||
| Screening Notes | |||
| Action Notes | |||
Screening record for administrative use. It does not constitute a medical diagnosis. Access and disclosure should follow applicable school privacy requirements.
