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Home:Health Services:Health Requirements and Forms

Health Requirements and Forms

Forms Required, by Grade

Form Name

 

DHS Physical Exam Form

Dental Exam Form

Eye Exam Form

Meningococcal Vaccine Notice

Early Childhood & ECH Speech Only

MC900434665[1]

 

 

 

Kindergarten

MC900434665[1]

MC900434665[1]

MC900434665[1]

 

1st grade

 

 

 

 

2nd grade

 

MC900434665[1]

 

 

3rd grade

 

 

 

 

4th grade

 

 

 

 

5th grade

 

 

 

 

6th grade

MC900434665[1]

MC900434665[1]

 

 

7th grade

 

 

 

 

8th grade

 

 

 

 

9th grade

MC900434665[1]

 

 

 

10th grade

 

 

 

 

11th grade

 

 

 

 

12th grade

 

 

 

           MC900434665[1]

 

Immunization Requirements

Please Note:

  Eye exams beyond Kindergarten are only required if a student is new to the state of Illinois
  Medication Authorization Form only required for students who receive medication (including over-the-counter) during the school day
   

 

Health Forms

Vision Forms

Dental Forms

Immunization Data Report

 
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