General Provisions

1. This regulation governs the organization and implementation of the school medical service, the duties of the school medical commission, and the compensation for school physicians, school dentists, and other individuals for the primary school and the first three grades of the Gymnasium at the Cantonal Middle School Uri.

1. The Education Council appoints a School Medical Commission consisting of five to seven members. The School Medical Commission

a) advises the Department of Education and Culture, the Education Council, and the Council of Government on matters concerning school medicine

b) determines the form and content of official forms

c) ensures that an annual statistical report is prepared for the Education Council with the results of mandatory examinations

d) can propose measures to improve the health of students

e) ensures the necessary information is provided to school authorities, school doctors, and school dentists

f) organizes meetings for school doctors or school dentists when necessary

g) organizes further training for individuals responsible for school dental care instruction

2. The Education Council and the Department of Education and Culture may assign tasks to the School Medical Commission.

1. The school board ensures the proper organization of the school medical service at each individual school.

2. It ensures that mandatory examinations are conducted for all students.

3. It may delegate individual tasks to the school administration.

1. The school board enters into a contract with at least one physician for the fulfillment of the tasks of the school medical service, using the contract template provided by the Department of Education and Culture.

2. A contract can only be concluded with physicians who practice in the Canton of Uri and possess a valid professional practice license pursuant to Article 19 of the Health Law (RB 30.2111). Exceptions are decided by the Department of Education and Culture.

3. Under the contract outlined in paragraph 1, the school physician shall

a) Conduct mandatory routine examinations

b) Inform the school board and the Office for Public Schools of the results of the mandatory routine examinations using the appropriate form

c) Administer vaccinations in accordance with Article 8

d) Implement necessary measures in cases of infectious diseases as directed by the cantonal physician

4. School physicians must attend an introductory course and engage in regular continuing education.

5. The school physician is administratively subordinate to the school board or, where determined, to the school management. Professionally, they are subordinate to the cantonal physician.

1. Mandatory Routine Examinations are Conducted

a) in kindergarten, during the 2nd year of two-year kindergarten programs

b) in the 4th grade

c) in the 8th school year

1. The mandatory routine examinations include the items listed on the School Medical Examination Sheet and the verification of vaccination status.

2. The results must be recorded on the School Medical Examination Sheet.

1. Mandatory routine examinations can be conducted on-site or in the doctor's office.

2. The school shall provide sufficient suitable premises. If this is not possible, the examination must take place in the doctor's office. The school doctor determines whether the available premises are suitable.

1. As part of the mandatory routine examinations, the recommended vaccinations are administered with the consent of the legal guardians.

1. The school administration promptly registers students who move from abroad and newly enroll in the school with the school doctor for an initial examination.

2. The initial examination includes the items listed on the School Medical Examination Form as well as a check of the vaccination status. The canton physician may order additional examinations.

1. The school board ensures that students and guardians are informed in a timely manner about the mandatory routine examinations and vaccinations.

2. The school medical commission provides the relevant documents.

1. The cantonal physician orders the necessary measures in cases of infectious diseases.

1. The students shall undergo a dental examination once per school year during their elementary school years.

2. The school board determines the timing of the mandatory examinations.

1. The school board determines the type of mandatory examination (group examination or individual examination).

1. The mandatory examinations include the points listed on the school dental examination form.

2. The result must be recorded on the school dental examination form together with any treatment recommendation and cost estimate.

1. Legal guardians may opt for an individual examination instead of a sequential examination.

2. They select the dentist who will conduct the examination. This dentist must have a valid license to practice.

3. Legal guardians must cover the difference in higher costs themselves.

4. The mandatory examination may also be conducted as part of a dental treatment.

1. The costs for any necessary treatment are to be borne by the guardians.

1. Pupils are to be systematically instructed in dental and oral hygiene during kindergarten and primary school.

2. Schools may employ specially trained individuals for this purpose.

1. School Physicians are compensated for mandatory routine examinations as follows

a) Rates according to TARMED

1. Kindergarten: 67 Swiss Francs

2. 4th Grade: 50 Swiss Francs

3. 2nd Year of Secondary School: 48 Swiss Francs

4. Written communication to parents: 16 Swiss Francs

5. Vaccination recommendations, per student: 8 Swiss Francs

b) A basic annual fee per school municipality of 200 Swiss Francs if the practice is at the same location as the school, or 300 Swiss Francs in all other cases

c) Report to the school board, per student: 1 Swiss Franc

2. Services outside of the mandatory routine examinations are compensated as follows (rates according to TARMED)

a) Written or telephone information: first 5 minutes 16 Swiss Francs; each additional 5 minutes 16 Swiss Francs

b) More time-consuming engagements: first 5 minutes 30 Swiss Francs; each additional 5 minutes 16 Swiss Francs; last 5 minutes 8 Swiss Francs

3. For compensations according to TARMED tariff positions, the respective tax point value applicable to the health insurers shall apply.

1. Compensation for School Dentists

The compensation for school dentists is determined according to the tariff of the Swiss Dental Association. The following tariffs apply

a) Serial examination with cost estimate, per child: 33.10 Swiss Francs

b) Individual examination with cost estimate, per child: 48.80 Swiss Francs

1. The compensation for individuals providing school dental care instruction amounts to 35 Swiss Francs per lesson of 45 minutes, including the 13th month's salary and vacation allowance.

2. The rate corresponds to the consumer price index level of 100 points according to the national consumer price index as of May 1, 1993. The rate is adjusted annually for inflation as decided by the government council for cantonal employees.

1. The regulation shall enter into force on January 1, 2012.