Spinal Screening Program Guidelines

spinal screening program

The Department of State Health Services (DSHS) Spinal Screening Program Guidelines is the teaching manual for DSHS-approved spinal screening certification workshops. This manual provides:

  • Overview for planning, conducting and follow-up of spinal screening in schools
  • All state laws and rules pertaining to school spinal screening in Texas
  • Forms for school spinal screening
  • Forms for spinal screening certification workshops
  • Up-to date information on diagnosis and treatment of scoliosis and other spinal abnormalities

This manual is provided on-line as a resource for school personnel who are planning and conducting spinal screenings. Reviewing this manual does not replace the state-requirement to complete a DSHS-approved spinal screening certification workshop.

The manual is divided into four sections. To print out the entire manual in proper page order, open and print each of the four sections in the order below (click on bolded heading to open and view). For questions and/or assistance, call the DSHS Health Screening Group at 512-776-7420 or email .

Spinal Screening Program Guidelines   [PDF 433KB] [DOC 516KB]

Letter from Shriners' Children's Hospital
Table of Contents
The Normal Spine
Abnormal Spinal Curvature
Spinal Screening Process
Referral Process
Management Options
Spinal Screening Programs
Follow-up Activities

Appendix A - Forms for School Spinal Screening  [PDF 783KB] [DOC 328KB] 

Sample Press Release
Sample Pre-Screening Letter to Parents (English)
Sample Pre-Screening Letter to Parents (Spanish)
Watch Out for Scoliosis brochure (English)
Watch Out for Scoliosis brochure (Spanish)
Sample Affidavit of Religious Exemption (English)
Sample Affidavit of Religious Exemption (Spanish)
Spinal Screening Worksheet
Parent Notification and Referral (English)
Parent Notificaiton and Referral (Spanish)
Spinal Screening Report Form (M-51)

Appendix B - Forms for Spinal Screening Certification Workshops [PDF 72KB]

Workshop Agenda
Practicum Checklist
Post-Test Answer Sheet

Appendix C - Additional Materials and Resources [PDF 388KB]

Texas Administrative Code
School Spinal Screening (Flow Chart)
Spinal Screening Workshop Evaluation


Last updated March 23, 2015