Kentucky boards of education must require a medical examination with a tuberculosis risk assessment for each certified or classified employee, including substitute teachers, before initial employment. This one-page form records the applicant's medical and surgical history, an eleven-item physical, the TB assessment and the examiner's statement that the person is free of communicable disease and fit for the job.
The applicant or employee supplies identifying details and the board of education they are joining. A physician, physician assistant or APRN completes the history, physical and TB sections and signs the fitness statement.
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Medical Examination of School Employees
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Under 702 KAR 1:160, local boards must require the exam for each certified or classified employee, including substitute teachers, before initial employment. The exam includes a tuberculosis risk assessment. School bus drivers are covered by a different form, TC94-35E.
The form quotes the Genetic Information Nondiscrimination Act of 2008: an employer may not request genetic information or family medical history from an applicant or employee. The examining provider must not request it, and the applicant should not provide it to the provider or the district.
The signature line is for a physician, physician assistant or APRN. The examiner dates the examination and signs the statement that the person is free of communicable disease and of disabilities that might interfere with their duties, except as noted.