Paediatric and adolescent medical service

The paediatric and adolescent medical service is responsible for the statutory examinations of children and adolescents in schools and daycare centres. The aim is to recognise health disorders and developmental abnormalities at an early stage and, in cooperation with the parents, to recommend the appropriate diagnostics and any necessary treatment. The tasks are carried out by paediatricians and adolescent medicine specialists, doctors from other disciplines and socio-medical assistants.
The paediatric and adolescent medical service provides the following services:
- Examinations in day care centres,
- school enrolment examinations,
- School examinations in 2nd and 6th grade
- Assessments (sports exemption, special school procedures, integration assistance)
- Medical check-ups for children of civil servants, tel. 0371 488-5814
- Examinations for home or school admission of unaccompanied foreign adolescents
The most important facts about early detection examinations for children from U1 to U9
Why are early detection examinations important and where? The leaflet from the Federal Centre for Health Education provides information on this.
Aim of the examination:
- To recognise developmental abnormalities at an early stage and thus provide needs-based support to enable the child to start school on time
- The developmental assessment covers the areas of vision, hearing, speech as well as gross and fine motor skills.
- To ensure comparability at state level, the assessment is standardised in all Saxon cities and districts.
Who is examined:
- All three to four-year-old children in Saxon day-care centres and day-care facilities are entitled to a check-up by the public health service.
- The examination is voluntary and requires parental consent
Procedure of the examination:
- After an appointment has been made between the daycare centre and the youth medical service of the Office for Health and Prevention, the children are examined individually at their facility
- The parents can take part in the examination or, with the parents' consent, an educator. Advice can also be given on publicly recommended vaccinations if the vaccination card is available.
- The examination lasts approx. 30 minutes
What to bring along:
- Yellow health booklet
- Immunisation card
Aim of the examination:
- Assessment of the level of development of the school-age child
- Early recognition of problems and initiation of needs-based support
Who is examined:
- The school entrance examination is a compulsory examination for all children who have reached the age of 6 by 30 June of the current calendar year.
- The legal basis for this is the School Act of the Free State of Saxony §26a and the School Health Care Ordinance.
- Two tests are carried out as part of the school entrance examination. The educational test is carried out by the teachers of the future primary school, the medical examination is always carried out by the paediatric and youth medical service of the responsible office for health and prevention.
Examination procedure:
- The examination takes place no later than 31 January of the year before the child is due to start school, either at the future primary school or at the Office for Health and Prevention.
- One parent must be present at the school entrance examination.
- The examination is accompanied by a counselling session on how best to support the child during the school enrolment phase, taking into account individual strengths and weaknesses.
What to bring along:
- Yellow medical booklet
- Immunisation card
- Important medical and therapy reports
Appointment booking:
Appointments can be booked online via the City of Chemnitz's participation portal: www.chemnitz.de/termin_schulaufnahmeuntersuchung
An appointment for a new school enrolment examination is also required for children who were deferred in the previous year.
You can find more information on school enrolment at www.chemnitz.de/schulanmeldung
Aim of the examination:
- According to the School Act for the Free State of Saxony §26a, compulsory examinations are carried out in the 6th grade at public schools. Further examinations are offered at special schools.
- The school examinations are intended to assess the state of health of children and young people.
- Parents can take part in the examination or have the examinations carried out by a paediatrician or family doctor and submit a medical certificate confirming that the examinations have been carried out to the head teacher.
Procedure of the examination:
- A few days before the examination, all parents will receive information and questionnaires to be brought to the examination on the day of the examination (signed by the parents in a sealed envelope).
- Each child is examined individually. One after the other: Vision and hearing test, measurement of height and weight, blood pressure measurement, physical examination, medical discussion about abnormal findings and ways of influencing them, written information to parents about abnormal findings and any changes.about conspicuous findings and referral recommendations to doctors in private practice, assessment of immunisation status and passing on individual immunisation recommendations to parents, distribution of information material on health promotion.
- The employees of the paediatric and youth medical service are bound to confidentiality with regard to medical findings and information. Personal data is only passed on with the consent of the parents.
- In accordance with §26a (7) of the Saxon School Act, the examining doctor provides the head teacher with the necessary general information, insofar as conclusions for the school are to be drawn from the results of the examinations. Parents are obliged to inform the school of any health impairments of the pupil that may have an impact on school operations.
- Each pupil will receive a brief written report of the findings. Parents will be asked to inspect the medical reports in the letter of notification.
- Vaccinations are only carried out after detailed information and with the written consent of the parents within the framework of the Saxon vaccination recommendations.
The paediatric and adolescent medical service of the Office for Health and Prevention offers all parents a general, advisory and assessment consultation.
The service covers
- the assessment of school-age children in the case of
- special educational needs,
- school refusal,
- increased number of days of absence
- suspension of compulsory schooling
- counselling on individual issues in the context of medical examinations for young people (school entrance examination, nursery examination or examination in the sixth grade)
- counselling on compulsory measles vaccination
- a measles vaccination for children and adolescents
Parents who wish to have their child examined should discuss the next steps with the head teacher of their child's school or with the school administration office. Only then do we ask you to book an appointment. If we have not received any documents from the school/school administration office by two days before your appointment, we will contact you.
For a measles vaccination and measles vaccination counselling, please do not forget your vaccination card.
Please come to the appointment (for assessments with your child) at the Office for Health and Prevention, Am Rathaus 8, on the 3rd floor and take a seat in the waiting room. You will be called.
Appointments for the assessment of school-age children (60 minutes) can be booked on Thursdays at 2.00 pm and 3.00 pm.
Consultation appointments for general counselling or measles vaccinations (30 minutes) take place on Thursdays from 4:00 pm to 5:30 pm.
We offer measles immunisation appointments (15 minutes) on the last Friday of every month from 08:00 to 11:15.
Due to illnesses/injuries of pupils lasting longer than 4 weeks, the health authority issues certificates on request, which represent a sovereign task as a partial exemption from compulsory school attendance. They can be issued as a partial or full exemption from sport, based on the diagnosis and recommendation of the treating doctor.
Applications are made exclusively by post.
Requests are processed promptly and the sports exemption is sent to you by post. However, we need your help to ensure that your applications can be processed smoothly:
Please read through the document "Paediatric and youth medical certificate of participation in sports lessons" under "Data protection information". Then download the forms "Release from duty of confidentiality for sports exemption" and "Data entry form for sports exemption" below and complete them in full . Download the "Handout for the doctor" and present it to your doctor. Send the original forms with all the documents specified on them to
City of Chemnitz
Office for Health and Prevention
Paediatric and youth medical service
Am Rathaus 8
09111 Chemnitz
Parents whose children attend an independent school must pay for the issue of the sports exemption certificate. The invoice for this will also be sent to you by post.
All legal guardians who do not have the option of printing out the forms and the data protection information can obtain them from their school.
Further information and forms in the service portal:
Please note that the Office for Health and Prevention cannot certify any exemption from grading. This is the sole responsibility of the school.
Early support
Children with delayed or abnormal development receive help at the early intervention centre of Heim gemeinnützige GmbH and there are other early intervention services.
The aim of caring for children with or at risk of disabilities and developmental problems is to recognise, treat and support problems as early as possible.
Affected parents or guardians receive comprehensive advice and suggestions for self-help in everyday family life.
The early intervention centre works closely with registered paediatricians and other specialists, diagnostic centres and other professionals.
Further information
Early intervention centre of Heim gGmbH
Data protection information
The examinations carried out by the paediatric and youth medical service of the Office for Health and Prevention of the City of Chemnitz require the processing of personal data.
The following information is intended to inform you about how the City of Chemnitz handles your data and what rights and obligations you have in this context. This ensures transparent and fair data processing in accordance with the statutory provisions, in particular the provisions of the General Data Protection Regulation (GDPR).