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Health Screening in Primary Schools

The school health team visits primary schools annually to conduct health screening of students.

Child's Medical Information

It is important that you provide your child's updated medical information prior to the school health visit. All information provided will be kept strictly confidential and will only be used by HPB in the management of your child's health^.

^The information may be placed into a database known as the Electronic Medical Records (EMR) System and the National Electronic Health Records (NEHR). The information may also be collated and used for national public health policy planning, ethically approved research, official reports and publications. Full confidentiality is ensured, i.e., your child's identity will not be revealed.

Summary of Health Conditions Screened in Primary School Students

Educational Level
Type of Screening Activity

Primary 1

  • Vision screening (Eyesight test)
  • 3D vision screening
  • Hearing screening
  • Growth & development assessment
  • Immunisation if required

Primary 2-4

  • Screening (Vision screening)
  • Height and BMI for selected students

Primary 5

  • Colour vision screening
  • Growth & development assessment
  • Spinal screening for scoliosis (girls only)1
  • Immunisation
​​Primary 6
  • Spinal screening for scoliosis (girls only)1
  • Height and BMI for selected students

1Female students will be briefed before the check-up for scoliosis is done for each student in an enclosed area for privacy. During the check-up, the female student will be asked to show her back to the female doctor or nurse before being asked to remove her top. Your child's back will be examined from behind while standing upright and while bending forward so that the doctor or nurse can screen for abnormal curvature of the backbone. If further assessment is required, your child will be referred to the Student Health Centre.


Details on Conditions Screened

Vision Screening

Good vision is very important for your child who is learning and growing. Early detection and correction of vision issues ensure that your child's learning ability will not be affected.

School children are screened for myopia (shortsightedness). Your child will be required to read off a chart, from a pre-determined distance to check his eyesight.

If your child requires further assessment of his vision, an appointment will be given to him/her to be reviewed by either a qualified optometrist or optician in the community. Your child may be referred to HPB's Student Health Centre - Refraction Clinic to be reviewed by our optometrist. In HPB's Student Health Centre – Refraction Clinic, the optometrist may instill eyedrops to improve accuracy of your child's eye examination.

Please refer to Advisory on Vision Screening. This advisory provides information on signs and symptoms which may suggest that further assessment of your child/ward's vision is advisable.

3D Vision Screening

This test is done to find out if your child has normal three-dimensional (3D) vision. Special patterned plates are shown to him. If your child is unable to pick out the right images, he/she will be referred to the HPB's Student Health Centre - Refraction Clinic for further assessment.

Hearing Screening

Hearing issues may affect learning. Early detection and correction of hearing issues ensure that your child's learning ability will not be affected.

Your child will be asked to put on headphones and have his hearing tested with an audiometer. If he/she cannot hear all or some of the sounds, he/she will be referred to the Student Health Centre for further assessment.

Please refer to the Advisory on the hearing test. The advisory lists signs and symptoms which may suggest that further assessment of your child's hearing is advisable.

Growth and Development Assessment

The height and weight of your child will be checked to see if he/she is growing well. Growth charts are used to compare his/her height and weight with those of other children of the same age.

If required, a referral will be given for your child to be seen at the Student Health Centre for further assessment.

Medical Check-up by the Doctor

Health conditions checked by the doctor include:

  • Heart conditions (the doctor will listen to your child's heart for extra heart sound)
  • Slow growth
  • Squint (and other eye conditions)
  • For Primary 5 and 6 girls; Spinal screening for Curved Spine (Scoliosis) (Refer to section i for details)
  • Other developmental problems

i) Spinal Screening for Curved Spine (Scoliosis)

Scoliosis is a condition where the normally straight spine curves to form an "S" shape or "C" shape. This is a deformity of the spine and should not be confused with poor posture.

This screening is for the Primary 5 and 6 girls only as this condition is more common in girls at this age.

Before screening for scoliosis commences, female students will be briefed on the importance and process of the check. Each female student will be examined by a female doctor or nurse within an enclosed cubicle for privacy.

During the check-up, your child will be asked to show her back to the female doctor or nurse before being asked to remove her top and brassiere. Your child's back will be examined from behind while standing upright and while bending forward so that the doctor or nurse can screen for abnormal curvature of the backbone (Forward Bending Test). If further assessment is required, your child will be referred to the Student Health Centre.

Please access this Scoliosis Information Pamphlet for more information on Curved Spine (Scoliosis)

Review of Health Conditions Where Applicable

Any specific conditions detected during previous school health visits will be reviewed in subsequent school health visits as necessary.

Please note that the school annual health screen provides screening for specific conditions only.

Do bring your child to see your family doctor if you have any concerns about your child's health.

Visit Parent Hub, for more useful tips and guides to give your child a healthy start.

Download the HealthHub app on Google Play or Apple Store to access more health and wellness advice at your fingertips.


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