A major scabies epidemic in several elementary schools in 1894 prompted the establishment of a school medical service, which was largely driven by Friedrich (Fritz) Kalle and Friedrich Cuntz. On January 9, 1896, the magistrate decided to employ four part-time school doctors for elementary and secondary schools and in 1897 introduced school entry examinations, regular visits by doctors to the schools with consultation hours, monitoring of school hygiene and finally the extension of serial examinations to the 3rd, 5th and 8th grades, including documentation. Cooperation with the district physicist, the school deputation and the schools was regulated in terms of procedure.

As early as 1898, the positive report of a commission of the Ministry of Education showed measurable changes and recommended the Wiesbaden procedure as a model. By 1914, the service had expanded to nine doctors. The war and post-war period worsened the situation for pupils and schools. In 1929, the nine part-time school doctors were replaced by two full-time doctors, who were supported by five school nurses.

After 1933, the service was further reduced. A reduction to 25% of examinations was accompanied by the removal of the school doctors from the school commission and their subordination to the public health officer in the newly created health authorities. The school doctors were required to report to the HJ doctors. The main focus was on hereditary health and the removal of Jewish children from the public school system.

After the war, it was not until 1950/51 that the school medical service reached almost the same level as before 1933. It was not until 1979 that "working guidelines for youth medical examinations and documentation" were introduced nationwide. For some years now, the youth medical service and youth dental service have been combined in the health department. The annual reports to the magistrate attract public interest.