Spring/Summer Updates


The Vermont Principal’s Association now recommends annual physical exams for Middle and High School students. Please call us 3 months in advance to schedule these appointments.

Most colleges require a physical exam, updated immunizations and a form signed by the doctor for first year students. Please bring your form with you to the appointment with your portion already completed.


According to new guidelines, children entering kindergarten require Dtap (Diphtheria, Tetanus and Pertussis), IPV (Polio) and now a Varicella (Chickenpox) booster.
Children entering the 7th grade are required to have a Tdap and possibly a Varicella booster. If your child is attending a residential school, such as boarding school or college, Menactra (Meningitis) vaccine may also be required. Menactra is now routinely given after age 11.


If your child will be taking medication at school, the school nurse will need written permission from you and the doctor. Advance notice for this is appreciated.


Many head injuries can be avoided by protecting your children with helmets when they roller blade or ride a bike, scooter or skateboard. For your convenience, bike helmets are available for $15.00 in the office.


UV rays can be very damaging to the skin. Avoid the hot mid day sun between the hours of 10:00 am to 4:00 pm. Wear hats, sunglasses and cover as much skin as possible. Be especially careful when on the water or sand as sunlight is reflected upward from these surfaces. We recommend a UVA and UVB sunscreen with an SPF of at least 15. The number of SPF states how many more minutes the skin is protected from the sun before burning. Initial application should be 20 to 30 minutes before sun exposure. Reapply frequently. Combination insect repellent and sunscreen is not recommended as overuse of insect repellent can occur when applying frequently.


Insect repellents containing Diethyltoluamide (DEET) are generally safe for children if used in concentrations of less than 30% and frequent reapplications are avoided.
It may be helpful to apply to clothing in addition to exposed skin.


If you find a tick on your child’s skin, it should be removed promptly and carefully. Ticks must be attached to the skin for at least 36 hours before they can transmit Lyme disease bacteria. Not all ticks carry Lyme disease.

To Remove the Tick:
Grab the tick with tweezers as close to the skin as possible and slowly pull it straight out. Do not use a twisting motion. Cleanse your child’s wound and apply antibiotic ointment.

Signs and Symptoms of Lyme Disease:
In the early stages of Lyme disease, a bulls eye rash may appear at the site of the tick bite. Along with the rash, your child can develop other symptoms, many of them flu like, that may include fever, fatigue, headaches, mild neck stiffness, muscle and joint aches.

– Stay on cleared trails and away from overgrown grass and brush.
– Wear long-sleeved shirts and long pants with the cuffs tucked into shoes or socks.
– Wear light-colored clothing to make it easier to spot ticks.
– Wear a hat and closed-toe shoes especially in densely wooded areas.
– Tick and insect repellents are available to be applied.
– Once indoors, remove clothing and wash skin to remove repellent if applied.
– Inspect the body for the presence of ticks. They may hide behind ears or attach themselves to hair.
– Pets may bring ticks into the house and should be inspected.