Health Examination Requirements

Heart Health

Health Requirements

Families need to provide health information to the District at the following times: 

 

Health Exam
Due by 1st day of school

Dental Exam
Due by  May 15

Eye Exam
Due by Oct. 15

Middle School Athletic Physical
(athletes only)

School Athletic
Participation Permission & Concussion Information

(athletes only)

K
X
X
X
 
 
Grade 2
 
X
 
 
 
Grade 6
X
X
 
X*
X
Grade 7
 
 
 
X
X
Grade 8
 
 
 
X
X
New Illinois Student
X
X
X
X
(if applicable)
X
(if applicable)

*The 6th grade health physical (Certificate of Child Health Exam) is used to meet this requirement.

Click here to find all forms.

Health Requirements for New-to-Illinois Students

  1. A completed physical examination on the Certificate of Child Health Examination form signed by a licensed physician or osteopath and dated no earlier than one calendar year prior to the first day of school.
    • A sports physical does not meet the requirements and is insufficient. However, the School Physical Examination form can count towards the sports physical exam requirement.
  2. Transfer students from out-of-state must provide a health form that is comparable to the State of Illinois requirements and is acceptable if the exam was done within one calendar year of entering an Illinois school. If not, the above physical exam is required within 30 days of enrollment. For students entering from out-of-country, an updated physical examination form must be completed and on file before they can attend school.
  3. Parents are to sign and complete the top medical history section of the physical form.
  4. For incoming kindergarten students, a statement from a physician or health care provider stating that the student has been screened for lead poisoning.
  5. A complete immunization record signed by the child’s health provider including:
    • DPT series with last immunization after the fourth birthday
    • Tdap vaccination for students over 11 years old and entering sixth through twelfth grade
    • Polio series with last immunization after the fourth birthday
    • Hepatitis B series (3)
    • Measles, Mumps and Rubella
    • Meningococcal for sixth grade and twelfth grade
    • Varicella (2)
  6. TB Screening is recommended but not required at this time.

Vision Requirements for Kindergarten and New-to-Illinois Students for the First Time

A completed Vision Examination signed and dated by an Optometrist or medical doctor who performs eye examinations is due by October 15 of the current school year. A completed Vision Waiver may be submitted if your student is enrolled in AllKids/Medicaid and you are unable to find a provider; you do not have vision insurance including AllKids/Medicaid and there are no low-cost clinics in the community; or any undue burden or lack of access to a provider of eye examinations.

Certificate of Religious Exemption

Families who object on religious grounds to complete any required immunizations or examinations must complete a Certificate of Religious Exemption form, which includes a statement of their religious objections. The form must also be signed by a healthcare provider. The healthcare provider signature on this new form attests to informing the family of the benefits of immunization and the health risks associated with not vaccinating the student. Per the State of Illinois, the certificate requires the signature of a parent or guardian to attest to understanding that their child may be excluded from school in the case of a vaccine-preventable disease outbreak or exposure.

Certificate of Religious Exemption