The Department of Education (DepEd) continues to strengthen learner health services through the Learners’ Health Assessment and Screening (LHAS). The program brings together physical health assessment, vision and hearing screening, oral health services, preventive interventions, and mental health and psychosocial screening to help schools identify learners who may need appropriate support.
As of September 28, 2026, LHAS activities for SY 2026–2027 are already part of ongoing school health implementation. DepEd division offices have issued local schedules and memoranda covering the conduct and continuation of LHAS activities during the current school year.
What Is Learners’ Health Assessment and Screening (LHAS)?
Learners’ Health Assessment and Screening, or LHAS, is a school-based health initiative designed to identify health concerns early and connect learners with appropriate preventive, remedial, or referral services.
The program forms part of DepEd’s broader school health and nutrition efforts. Previous DepEd guidance describes LHAS as an integral component of health services coordinated by School Health and Nutrition (SHN) personnel under Oplan Kalusugan sa DepEd.
For SY 2026–2027, the implementation includes several major components: head-to-toe assessment and health history intake, vision and hearing screening, oral health assessment and treatment, topical fluoride varnish application, and universal mental health and psychosocial screening.
When Will LHAS Be Conducted in School Year 2026–2027?
Some schools with school-based health personnel, local government health workers, or capable community partners may have started certain LHAS activities earlier during the Opening Block.
For schools that did not have the capacity to conduct the activities earlier, the general expectation was that LHAS would commence no earlier than July 13, 2026. This timing allows schools and Schools Division Offices (SDOs) sufficient opportunity to complete master lists and organize schedules.
LHAS activities are expected to continue throughout the school year according to schedules established by SDO SHN personnel in coordination with School Heads.
The July 13 date also corresponds with the opening of Beginning-of-School-Year encoding in the DepEd Learner Information System for Kindergarten to Grade 10.
1. Head-to-Toe Assessment and Health History Intake
One of the central components of LHAS is the annual head-to-toe assessment.
This is a thorough examination conducted by qualified health personnel to help identify signs and symptoms of illness, physical or behavioral concerns, abnormalities, and other health-related needs. It also provides an opportunity to monitor hygiene practices and give learners and parents or guardians practical health education.
The assessment includes anthropometric measurements, particularly height and weight. These measurements can be used to calculate Body Mass Index (BMI) as part of assessing nutritional status and identifying possible nutritional concerns.
The health history intake complements the physical assessment. It may include information about allergies, existing medical conditions, previous surgeries or hospitalizations, family medical history, immunization status, smoking or vaping history, handedness, and other relevant information.
Health personnel may obtain this information directly from the learner or from a parent, parent-substitute, or legal guardian, depending on the circumstances and the information required.
2. Vision and Hearing Screening for Learners
Vision and hearing screening are important because unidentified sensory difficulties can affect classroom participation and learning.
Vision screening or visual acuity screening uses appropriate charts, occluders, transparent response keys, and other methods to identify learners who may have vision concerns.
Hearing screening may involve a 512 Hz tuning fork or retractable pen used by qualified health personnel to identify learners who may need further audiological assessment and management.
For SY 2026–2027, Kindergarten learners are a mandatory priority for vision screening and are likewise prioritized for hearing screening. Grades 1 and 4 follow as priority groups. Learners participating in the Academic Recovery and Accessible Learning (ARAL) Program who have not yet been screened, as well as learners experiencing reading difficulties or identified as non-readers, are also prioritized.
For vision screening, learners aged 15 years and below are another important priority because they may be eligible for the PhilHealth benefit package for optometric services for children.
Schools may also conduct vision and hearing screening ahead of the scheduled Head-to-Toe Assessment when trained personnel are available. These activities may be conducted during Homeroom Guidance or other suitable free periods.
3. Minimizing Disruption to Classroom Instruction
Health services should be delivered while protecting instructional time.
When Head-to-Toe Assessment or oral health activities take place during the Instructional Block, learners may be called individually, in pairs, or in small groups. The arrangement depends on the number of available health personnel.
This approach allows schools to provide necessary health services while reducing the amount of classroom time affected.
SDO SHN personnel are also expected to use their contact with learners as an opportunity for health education and chairside instruction, helping learners understand practical ways to protect their health.
4. Oral Health Assessment, Treatment, and Fluoride Varnish
LHAS also includes important dental services.
The Oral Health Assessment is conducted by licensed dentists under the School Dental Health Care Program (SDHCP). It involves examining the teeth, gums, and other oral tissues to identify dental caries, periodontal concerns, and other oral health conditions.
Early identification allows appropriate treatment, preventive care, or referral when necessary.
Another important intervention is topical fluoride varnish application. Sodium fluoride varnish is applied at least once per school year, with priority given to Kindergarten through Grade 3 learners and learners in other grade levels who have active dental caries.
Parental, parent-substitute, or legal guardian consent is required for the fluoride varnish application.
DepEd's school dental program is linked to the department's established School Dental Health Care Program guidelines, including DepEd Order No. 41, s. 2020.
For dental activities, SDO dentists are also expected to observe applicable Department of Health infection prevention and control requirements for facility-based and community-based dental settings.
5. Universal Mental Health and Psychosocial Screening
Physical health is only one part of learner well-being. LHAS also includes Universal Mental Health and Psychosocial Screening for qualified schools.
For SY 2026–2027, administration of the screening tools may take place during the applicable Homeroom Guidance Program schedule from August 10 through December 14, 2026.
The schedule allows schools time to build familiarity and trust with learners before screening and leaves sufficient time for referral and appropriate intervention during the school year.
The Children and Adolescents Risk Screener (CARS) is used for universal mental health screening. It assesses areas of potential mental health concern among learners from Kindergarten through Grade 12 in qualified schools.
Importantly, screening is not a clinical diagnosis. Its purpose is to identify possible risks and determine whether additional support, intervention, or referral may be appropriate.
6. Rapid HEEADSSS for Adolescent Psychosocial Screening
For adolescents, DepEd uses Rapid HEEADSSS, a self-administered psychosocial screening questionnaire recommended for adolescents aged 10–19, corresponding generally to Grades 4–12.
HEEADSSS covers areas related to the learner's home, education or employment, eating, activities, substance-related risks, sexuality, mental health concerns, and safety.
Learners identified as being at risk may be referred for a more comprehensive psychosocial assessment, including the Comprehensive HEEADSSS Interview, when appropriate and conducted by qualified personnel.
As with other health screening activities, proper training and adherence to the applicable protocols are essential.
7. What Schools and Parents Should Know About LHAS
LHAS should be understood as an early identification and support system rather than simply a one-day medical checkup.
Schools coordinate with SDO health personnel, School Heads, teachers, dentists, nurses, medical officers, counselors, and qualified local health partners to identify health concerns and determine appropriate next steps.
Parents and guardians can help by providing accurate health information, responding to consent requirements, and cooperating with referral or follow-up recommendations when additional assessment or treatment is needed.
The overall goal is straightforward: identify health concerns early, provide appropriate interventions, and help learners remain healthy and ready to learn.
Important LHAS References and Links
For the detailed procedures and official materials, readers may refer to the following resources:
Head-to-Toe Assessment procedures:
https://bit.ly/schoolhealth2627head-to-toe
Oral Health procedures and references:
https://bit.ly/schoolhealth2627oralhealth
Mental Health and Psychosocial Screening procedures, CARS, and HEEADSSS materials:
https://bit.ly/schoolhealth2627mentalhealth
DepEd official website:
https://www.deped.gov.ph/
DepEd's previously issued LHAS guidance also establishes the program's connection to school medical, dental, nursing, nutrition, and mental health services.
Final Thoughts
The Learners’ Health Assessment and Screening program for SY 2026–2027 highlights an important principle in education: learning and health are closely connected.
Through annual physical assessment, health history intake, vision and hearing screening, dental services, fluoride varnish application, mental health screening, and appropriate referral, schools can identify concerns before they become bigger barriers to learning.
As of September 28, 2026, schools are already within the implementation period for LHAS activities for the current school year. Specific schedules may vary by Schools Division Office, so teachers, parents, and school personnel should follow the latest instructions issued by their respective SDO and school administration.
The most important takeaway is that LHAS is not merely about checking whether a learner is healthy today. It is about creating a coordinated system that helps schools recognize health needs, provide timely support, and connect learners with appropriate services throughout the school year.