(1) "Routine medical
care" shall include but is not limited to the following:
(a)
Allergy
Shots.
(b)
Blood Pressure Test.
(c)
Comprehensive Physical
Examination. Documenting the finding of an unclothed physical
examination including a complete system review pertinent to the age of the
child, fundoscopic examination of the eyes for children over five years of age,
and observation of the teeth and gums for children three years of age or
older.
(d)
Dental
Care.
(e)
Developmental Assessment. The child's current levels
of functioning in the below-listed areas, as appropriate to the child's age.
1. gross motor development, including
strength, balance, and locomotion
2. fine motor development, including eye-hand
coordination
3. language
development, including expression, comprehensive and articulation
4. self-help and self-care skills
5. social interaction and emotional
development
6. cognitive skills,
including problem-solving and reasoning abilities.
(f)
Diseases Dangerous to the
Public Health, Treatment of. See M.G.L. c. 112,
§ 12F and
105 CMR
300.100: Diseases Reportable to Local
Boards of Health.
(g)
Drug Dependency Treatment. See M.G.L.
c. 112, § 12E.
(h)
Family Planning Services.
(i)
Fractures, Treatment
of
(j)
Hearing Test.
(k)
Immunization
against diphtheria, pertussis, tetanus, measles, poliomyelitis, mumps, rubella
and such other communicable diseases as may be specified from time to time by
the Department of Public Health. See M.G.L. c. 76, § 15
and
105
CMR 200.100: Physical Examinations
Required by Primary Care Provider or School Physician.
(l)
Laboratory Tests and Special
Medical Studies when determined by the examining physician to be
necessary.
(m)
Lead
Poisoning Test.
(n)
Nutritional Status Assessment. The evaluation of the
child's nutritional health in light of dietary practice and the entire health
assessment (that is, history, physical examination, height and weight
measurements, and the laboratory tests) and documentation of any nutritional
disturbance or dysfunction.
(o)
Pelvic Examination.
(p)
Pregnancy
Treatment. See M.G.L. c. 112, §
12F.
(q)
Preventive
Health Services.
(r)
Psychiatric Assessment, Evaluation, or Treatment on
out-patient basis or up to 90 days on in-patient basis.
(s)
Treatment
commonly prescribed for a specific physical illness, which treatment does not
pose risks of permanent serious side effects or risk of death, see
Custody of a Minor, 375 Mass. 733, 379 N.E.2d 1053, 1064
(1978) or is determined not to be extraordinary medical treatment by using the
analysis outlined in
110 CMR
11.00.
(t)
Tubercular Skin Test or Chest X-ray.
(u)
Venereal Disease
Treatment. See M.G.L. c. 112, §
12F.
(v)
Vision
Test.
(2)
Consent. The Department may consent to routine medical
care for a child in the care of the Department or a child in the custody of the
Department or a child who is a ward of the Department.
(3)
Parent's Religious Beliefs
Regarding Routine Medical Treatment. If parents refuse to sign a
standard Voluntary Placement Agreement because they refuse to delegate to the
Department the power to consent to routine medical treatment for their child on
the basis that such routine medical treatment conflicts with the parents'
sincere religious beliefs, the Department shall elect one of the following
actions:
(a) Amend the standard Voluntary
Placement Agreement by adding the following paragraph:
"Whereas the undersigned parents hold sincere religious beliefs
opposed to all medical treatment, the Department shall have the right to
approve only medical, psychological and dental care, testing or studies for the
child relative to:
1. drug
dependency;
2. diseases dangerous
to the public health;
3. venereal
diseases;
4. emergency medical
treatment; and
5. routine physical
examination and laboratory test."
(b) Determine whether the parents' refusal to
delegate to the Department the power to consent to the medical treatment
constitutes medical neglect, and if so, institute appropriate court action on
that basis.
