Health Services
Need help accessing a form? Please contact your school nurse or call the District Office at 847-990-4200 if you need a form in another language, need help completing a form, or need the information in another format.
Download Required Health Forms
Families may need one or more of the forms below depending on the student’s grade level, enrollment status, or health needs. Please contact your school nurse if you are unsure which form applies to your child.
- Download the Illinois Certificate of Child Health Examination Form — English PDF
- Required for students entering kindergarten, sixth grade, and students enrolling from outside Illinois.
- Download the Illinois Certificate of Child Health Examination Form — Spanish PDF
- Spanish version of the child health examination form.
- Download the IESA Sports Physical Form PDF
- For sports physical documentation. This does not replace the required Illinois Certificate of Child Health Examination form.
- Download the Illinois Dental Examination Form PDF
- Required for applicable grade levels.
- Download the Dental Examination Waiver Form PDF
- Use this form if a dental exam requirement cannot be completed.
- Download the Illinois Eye Examination Form PDF
- Required for applicable students.
- Download the Eye Examination Waiver Form PDF
- Use this form if an eye exam requirement cannot be completed.
- View Medication and Management Plan Forms
- For medication authorization, asthma, allergy, seizure, diabetes, or other health plans.
When Health Forms Are Due
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Health forms are not required to begin registration
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Forms must be submitted within 30 days of enrollment
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Requirements vary by grade level
Failure to submit required forms may impact school attendance.
How to Submit Medical Forms
You can submit your child's medical forms in one of the following ways:
- Upload: Submit the forms when registering in PowerSchool.
- In-Person: Turn in the forms at your child's school front office (only when students are in session) or the District Office (available year round).
School Nurse Directory
Holly Aronoff
Title:
Nurse
Location:
Hawthorn School for Young Learners
Email:
Erin Feeney
Title:
Health Clerk
Location:
Middle South
Email:
Physical Exams and Immunization Requirements
Illinois law requires physical exams for students entering kindergarten, sixth grade, and for new enrollees from outside Illinois. A health examination report, signed by a physician and dated within the past 12 months, must be on file with the District. Immunization records for measles, mumps, rubella, diphtheria, tetanus, pertussis, polio, and varicella are required. Sixth graders must also have completed the hepatitis B series, a Tdap booster, and one meningococcal conjugate vaccine (MCV) given on or after their 11th birthday.
If health records are not compliant with Illinois School Code and submitted by October 15, the student will be excluded from school until compliance is met. The exam must be documented on the Illinois Certificate of Child Health Examination form. IESA sports physical forms are not acceptable.