A variety of screening programs are carried out in schools. Some of these, such as scoliosis screening, are of questionable medical importance. Others, such as vision and hearing testing, are very important but overinclusive. These programs must be combined with reliable follow-up systems for all positive findings. The follow-up examination may be done by the school physician, but it is preferable to refer the child to a personal physician or clinic that can oversee treatment and continued evaluation.

Physicians who receive these referrals should make a careful evaluation of any abnormalities detected on screening and notify the school of the disposition of the referral unless the child’s parents object. School physicians must ensure that the child keeps the referral appointment and is properly evaluated.