This manual provides guidelines for growth and BMI screenings in schools, and recommends that students who are found to be overweight (BMI at or above the 95th percentile) or at risk for overweight (BMI at or above the 85th percentile) with a family history of obesity or obesity-related diseases during growth screenings should be referred for an in-depth medical assessment.

This manual describes referral guidelines for hearing screenings in schools. The guidelines state that should a student fail a hearing screening, the school nurse has the responsibility of notifying the parents of the results, providing the referral, explaining the importance of a follow-up examination, and following up with and tracking the referral. Medical professionals in the area should be aware of and in agreement with the district's screening program and referral criteria.

This manual describes guidelines for vision screening in schools. Regarding the near and distance acuity screenings, for students in preschool through kindergarten, if each eye does not see at least the 20/40 line, they should be referred. For students in first grade and after, if each eye does not see at least the 20/30 line, they should be referred. Regarding the binocularity/stereoscopic vision screening, students who do not locate the Stereo "E" card in at least four out of five presentations should be referred. Further guidelines about the referral, follow-up, and tracking process are included.