Middle School Clinic and Health Information

Clinic Contact Information

Nurse: Christen Clarke RN CSNT
Direct Phone: 401-315-2822
Direct Fax: 401-223-4843
Email: Christen [dot] Clarke [at] chariho [dot] k12 [dot] ri [dot] us

Clinic Clerk: Sharon Jaruta
Email: Sharon [dot] Jaruta [at] chariho [dot] k12 [dot] ri [dot] us

Summer Health Updates

The Rhode Island Department of Health has issued a resource for the prevention of common summer diseases. As we look toward the long days of summer fun, keep you family healthy with this guide.

***Rising 7th Graders (Current 6th Grade 2018-2019)***

Students entering the 7th grade will need a physical completed less than 12 months from the first day of the 2019-20 school year and the following immunizations:

Forms for physicals can be found HERE.

Students that have not met these requirements may be excluded from school.

Forms can be delivered to the Middle School Clinic, emailed to the nurse, or faxed to our direct line at 401-223-4843.

NOTE: If you have an appointment for any of these requirements booked after the start of school, please submit proof of a scheduled appointment AND a Temporary Immunization Exemption form to the clinic as soon as possible. Verification of the physical and/or immunizations are due to the clinic the day after the listed appointment or school exclusion will ensue.

Excused School Exclusions from the Middle School Clinic

Per the “Chariho Regional School District Standing Physician’s Orders & Health Office Policies and Procedures”a student may be excluded from school if they:

  • Are actively vomiting
  • Have a temperature greater than 100.5⁰F
  • Have an unexplained rash
  • Have frequent diarrhea
  • Have severe, persistent pain anywhere
  • Have severe cold symptoms
  • OR

  • At the School Nurse Teacher’s discretion

Early dismissals resulting from these symptoms will be considered excused by the clinic. All other early dismissals will be considered unexcused unless additional documentation from a health care provider is supplied per the Chariho Regional School District Attendance Policy.

Screenings to be held during the School Year:

Dental Screening for 5th graders
Vision Screenings for 5th and 7th graders
Scoliosis Screening for 6th, 7th and 8th graders

If you do not wish your child to be screened at school then proper documentation from your health care provider needs to be submitted to the clinic in the form of an up to date physical and/or school dental form.

Links to Dental Forms and RI Physical Forms are also at the bottom of this page.

**Important Note Regarding Physicals**

****Sports Physical Clinics are no longer available. If you plan to participate in school athletics, please ensure you have an up to date physical (within the past 13 months). Sports registration in now completed online through FamilyID. The link is located on the Athletics webpage.****

The Pre-Participation Evaluation forms found in the Athletic Department packets DO NOT count as RI State Physicals for school use. Printable copies of the sports packet can found HERE.

Please submit RI State Physical forms (or you healthcare provider’s equivalent paperwork) to the clinic. Only these forms will meet the entrance requirements for 7th and 12th graders, and exempt your child from related screenings. These forms are available for printing at the bottom of this page or HERE .

Thank you for your cooperation and feel free to contact the clinics with any questions.

Middle School Clinic: 401-315-2822
High School Clinic: 401-315-2821

Immunization Requirement Updates:

Students Entering 7th Grade

In accordance with the Rhode Island Department of Health Rules and Regulations Pertaining to Immunization and Testing for Communicable Diseases (R23-1-IMM), all children entering the 7th grade should have already completed these immunizations:

Students entering the 7th grade will additionally need a physical completed within the 12 months of the 2019-20 school year and the following immunizations:

For information on the HPV vaccine see the CDC HPV Vaccine Factsheet or talk to your pediatrician.

Students Entering 8th Grade

In accordance with the Rhode Island Department of Health Rules and Regulations Pertaining to Immunization and Testing for Communicable Diseases (R23-1-IMM), all children entering the 8th grade in 2019-20 are required to have:

  • Two (2) doses of HPV vaccine
  • HPV Vaccine Dosing Guidelines:

    The Centers for Disease Control (CDC) has issued new guidelines for HPV immunization dosing. The CDC now routinely recommends two (2) doses of HPV vaccine for 11 or 12 year olds to protect against HPV cancers. This change is meant to make it easier for parents to protect their children by reducing the number of shots and trips to your healthcare provider.

    The first dose is recommended for 11 or 12 years old, with a second dose administered 6-12 months later (with a minimum of 5 months between doses).

    Those starting the series at ages 15-26 years old will still need the three dose series.

    Those who have received the first two doses less than 5 months apart will require a third dose.

    What does this mean for me?
    If your student:

    • Started the series at age 11-12
    • Had two doses of the HPV vaccine
    • AND the doses are more than 5 months apart

    Then your student’s HPV series is complete.

    If your student:

    • Started the series at 13+
    • OR

    • Had two doses of the HPV vaccine less than 5 months apart

    Then your student will need a third dose of the HPV vaccine

    If you have any questions or concerns, please call the clinic at 410-315-2822. We will be glad to assist you with this guideline transition.


    Any students requiring medications during the school-day should have physician's orders sent to the clinic. Forms specifically for EPI-Pens, Inhalers and Other Allergy Medications can be found HERE.

    Any medications not picked up within 1 week of the end of school will be discarded.

    The following over-the-counter (OTC) medications are available (at the nurse's discretion) to students:

    • Acetaminophen (Tylenol)
    • Ibuprofen (Motrin/Advil)
    • Tums
    • Cough Drops

    These medications must be authorized by a parent or guardian either on the student's Emergency Contact Sheet (sent home in September for updates) or by submitting an OTC Authorization Form. Forms can be dropped at the clinic, emailed to the clerk or faxed.

    Useful Health Links

    RI State Physical Form47.15 KB
    Physician Authorization for Medications 244.33 KB
    Allergy and Anaphylaxis Care Plan173.68 KB
    Asthma Emergency Care Plan610.26 KB
    Diabetes Management Plan33 KB
    Diabetes Emergency Care Plan29 KB
    Seizure Action Plan42 KB
    District Dental Form279.02 KB
    OTC Medication Authorization (Tylenol, Advil, TUMS and Cough Drops)85.72 KB
    Immunization Exemption: Religious/Philosophical32.34 KB
    Immunization Exemption: Temporary33.68 KB
    Immunization Exemption: Medical33.65 KB