4.01 Parental notification shall be done at least seven (7) days prior to screening.

4.02 Screeners shall be licensed physicians, individuals trained by a Certified Scoliosis Screening Instructor to perform scoliosis screening, or individuals who can document completion of a Scoliosis Screening Workshop within the past five (5) years and demonstrate competence to a Certified Scoliosis Screening Instructor. School health personnel, volunteers, and other school employees who are not classroom teachers shall screen if they have been trained in scoliosis screening by a Certified Scoliosis Screening Instructor. A school is not required to hire personnel on a full-time, part-time, or consultant basis to conduct the screening, but shall utilize school health personnel, volunteers, and other school employees who are not classroom teachers and who meet the qualifications prescribed by the rules.

4.03 Girls shall receive a scoliosis screening in grades six (6) and grades eight (8). Boys shall receive a scoliosis screening in grade eight (8) the eighth grade.

4.04 The Scoliosis Screening Procedure shall be used as the first stage of screening. If the Scoliosis Screening Procedure indicates positive findings for possible scoliosis, the Scoliometer shall be used as the second stage of screening.

4.05 A child with an abnormal screening, scoliometer reading of greater than or equal to seven degrees (≥ 7°), or both shall be referred to a licensed physician. A child with a scoliometer reading of greater than eight degrees (> 8°) should be referred to an orthopedist in addition to a referral to a licensed physician.

4.06 A Certified Scoliosis Screening Instructor or School Health Nurse shall contact the parents of a child who fails the screening by letter, telephone call, or in person to:

4.07 The School shall provide a Scoliosis Screening Report to the parent to take to the licensed physician or orthopedist.

4.08 The School shall schedule students, who were not screened because of absence, within ninety (90) days after the missed screening.

4.09 The reason for a student's exclusion from the screening shall be documented. A child is not screened if his or her parent or guardian objects to the screening in writing, stating as the basis of the objection that it is contrary to the parent's or guardian's religious beliefs.

4.10 The School shall recontact the parents of students who failed the screening and were referred to a licensed physician or an orthopedist, but then missed that appointment. This contact shall be made by letter, telephone call, or in person at least one additional time to discuss the importance of follow-up.