DBB(EXHIBIT) - EMPLOYMENT REQUIREMENTS AND RESTRICTIONS: MEDICAL EXAMINATIONS AND COMMUNICABLE DISEASES

exhibit a

APPROVALS CONCERNING RELEASE OF INFORMATION REGARDING PERSONNEL WITH HIV INFECTION

This exhibit concerns the release of information about an employee's AIDS or HIV test results or HIV status. This approval is exercised as needed.

REQUESTS

References.

DBB1(REGULATION)

The assistant superintendent, Student Support Services, is responsible for maintenance of this exhibit.

exhibit b

RELEASE OF INFORMATION REGARDING PERSONNEL WITH HIV INFECTION

MEMORANDUM

DATE:

TO:Employee

School/Department

FROM:Principal/Supervisor

School/Department

SUBJECT:REQUEST FOR MEDICAL EVALUATION

As you recall, we discussed concerns about your health, which may be affecting your workplace performance. Please be reminded that I encouraged you to seek medical attention for the medical concerns expressed during our verbal conversation. Specifically, your health concerns include: (List concerns below)

My observations indicate behaviors that are affecting your job performance. I am directing you to participate in a medical evaluation through the Health and Medical Services Department to determine your fitness for duty. Continued physical and health problems in the workplace must be addressed before they are allowed to negatively impact student learning. You are hereby relieved of your _________ duties until a medical clearance is provided. Failure to participate in this evaluation may lead to disciplinary action, up to and including termination of your employment. The Health and Medical Services Director may be reached at (713) 349-7423. A copy of this letter will be forwarded to the director and she will contact you to schedule an appointment. If you have any questions, please see me immediately.

_____________________________(initials)

cc:Personnel file

Director of Health and Medical Services

Regional Superintendent

I am in receipt of this memorandum.

Signature (Employee)Date

Houston ISD

DBB(EXHIBIT)-X

LDU 2010.01

DATE ISSUED: 3/15/2010