Required Medical Forms
Please note the following medical record requirements for public schools. Should you have questions, please call the school nurse.
All children in kindergarten, sixth grade and new to the district must provide the school with documentation of a completed health exam within 1 year prior to the start of the school year.
NEW - All children entering sixth grade, seventh grade, and eighth grade are required to provide proof of Tdap vaccination along with the school physical forms. Read the Tdap information here. Additionally, students entering 6th grade must show proof of 1 dose of meningococcal conjugate vaccination (MCV) on or after 11 years of age. Students entering Kindergarten, sixth grade, or ninth grade are required to show proof of receiving two doses of chickenpox vaccine (varicella), the first received on or after their first birthday and the second dose no less than four weeks (28 days) after the first does. A physician can confirm past history of the disease – in lieu of vaccination – by having examined the infected child, documenting the parent’s description of the child’s history, or reviewing lab results. All forms must be turned in by October 15th. Download the HEALTH EXAM form here.
All children in 7th and 8th grade who will be participating in an interscholastic sports program must provide the school with documentation of a completed health exam. This form must be updated annually. Download the SPORTS HEALTH EXAM form here.
All children in kindergarten, second and sixth grade must provide the school with documentation of a completed dental exam within 18 months prior to May 15th deadline. All forms must be turned in by May 15th. Download the DENTAL EXAM form here. If you request a waiver from the dental requirement, please use this DENTAL EXAM WAIVER form.
Illinois law requires proof of an eye examination by an optometrist or physician who provides complete eye exams be submitted as a child enters kindergarten or is new to an Illinois school. The exam must be completed within one year prior to your child beginning school. All forms must be turned in by October 15th. Download the EYE EXAM form here.
Visit our Health Topic Section on Immunizations to learn more.