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Medical Forms

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Medical Forms

Illinois requires health exams for students in the public schools.  A physical exam is required upon school entry if attending preschool and for students in kindergarten, sixth grade, and ninth grade.  Physicals must be done within one year of school entry for each grade level.  Students moving into the district from out-of-state must also have an Illinois physical exam within 30 days of enrollment.  An eye exam is required for children entering kindergarten.  A dental exam is required for children in kindergarten, second and sixth grade.


Illinois law requires that students are excluded from school attendance on October 15th if the requirements for the physical and eye exam are not met.  Dental exams must be completed by May 15th.

The Department of Public Health provides the required forms for use in Illinois schools.  A copy of those exam forms can be accessed from the links below.

Dental Exam Form

Eye Exam Form

Physical Health Exam Form

Tdap Rule Change

Questions & Answers Regarding School Health Record Issues

Medication at School Letter (Read this first)

Authorization for Administration of Medication at School

Self-Administration of Medication - Asthma / Epinephrine Auto-Injector


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