12.01 All children in Kindergarten (K), grade two (2), grade four (4), grade six (6), grade eight (8), and grade ten (10) shall have their height and weight assessed to calculate body mass index for age percentile.

12.01.1 This requirement applies to public schools.

12.01.2 The responsibility for enforcement of this section rests equally with each school district.

12.01.3 Nothing in these rules shall preclude voluntary screening of any educational grade or preclude the referral of any child, regardless of grade, whom the parent, teacher, or school nurse feels should be screened or examined unless the school has received written refusal from the student's guardian.

12.01.4 Each school district shall follow the approved screening process as outlined in the Height and Weight Measurement Training Manual.

12.02 Screening equipment shall include but is not limited to:

12.02.1 Stadiometer;

12.02.2 Scales for measuring weight; and

12.02.3 Carpenter's square.

12.03 Training/Assurance:

12.03.1 DESE in conjunction with ADH shall develop standards for training school nurses or other school designees to perform body mass index for age assessments.

12.03.2 ADH in consultation with DESE shall assign all community health nurses under its supervision to work with schools to assure that body mass index for age assessment protocols are followed by school employees or their designees who conduct body mass index for age assessments and other student health screenings.

12.04 Beginning with kindergarten and then in even numbered grades, schools will be required to include, as a part of a student health report to parents, a body mass index percentile by age for each student in a private and confidential manner.