Policy 4231 – Staff Physical Examinations

Upon initial employment, all employees of the district shall have a physical examination, including a tuberculin skin test and/or chest x-ray, in accordance with state law.

Upon initial employment, each employee shall furnish a certification of freedom from tuberculosis. Food service employees shall furnish such certification annually. Food service employees shall have other periodic health exams as required by the school board. The board may also require other employee health exams consistent with state and federal laws.

An employee may be exempt from the health examination requirements listed in this policy if an affidavit has been filed with the board claiming such exemption in accordance with state law. No employee shall be discriminated against by reason of his/her filing of an affidavit.


  • Wisconsin Statutes
    • Sections 103.15 (Restrictions on use of test for HIV or antibodies to HIV)
    • 118.25 (Employee health examination requirements; freedom from tuberculosis)
    • 121.52(3) (Bus driver health examinations)
    • 146.81-146.83 (Access to and confidentiality of patient health care records)
    • 252.15 (Restrictions on use of HIV test)
    • 252.18 (Health status of food handlers)
  • Americans with Disabilities Act of 1990 (“ADA”), as amended by the ADA
  • Amendments of 2008 (Disability discrimination; includes information on medical examinations)
  • Wisconsin Fair Employment, Wis. Stats. 111.31-111.325, 111.34, 111.372.


  • 4110 Equal Opportunity Employment and Affirmative Action
  • 4232.1 Employee Human Immunodeficiency Virus (HIV) Infection
  • 4260 Personnel Records
  • Employee Handbook


AFFIRMED: April 22, 1991


  • January 26, 1993
  • June 27, 2000
  • September 23, 2014
  • October 28, 2014
  • March 28, 2017

Rule 4231 – Staff Physical Examination Guidelines

  1. Evidence of the physical examination, including chest x-ray or tuberculin test, and freedom from tuberculosis shall be submitted on forms provided by the district, except where other certifications of health from licensed physicians or health agencies contain all the information required by the district.
  2. Personnel who fail to furnish the required physical examination evidence according to a prescribed schedule, or the appropriate affidavit exemption, may be suspended without pay until such evidence or affidavit is presented.
  3. Medical records will be kept confidential and maintained in a file separate from general personnel records.