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School Alert
Medical

OTC Medication Administration Authorization

Prescription Medication Administration Authorization

DHS School Physical Form

Illinois Dental Exam Form

Illinois Vision Exam Form

Snack and Treat Requirements for Preschool-5th Grade

All snacks and treats must include ingredient labels and a statement indicating items are prepared in a "nut-free facility."  The school nurse must approve all food items intended to be shared with classmates.

Suggestions:

  • Lofthouse (Sugar) Cookies
  • School Safe Products (by Treasure Mills)
  • Items Recommended by www.snacksafely.com

State of Illinois Health Record Requirements for Students

Students entering PRESCHOOL must show proof of:

  • Certified Copy of Birth Certificate
  • Complete Immunization Record including:
  •            - DPT           
  •            - Measles
  •            - Mumps/Rubella
  •            - Polio
  •            - Chicken Pox
  • Lead Screening
  • Physical Exam

*If student is attending Preschool for a THIRD CONSECUTIVE YEAR, please call the school office for requirements.

Students entering KINDERGARTEN or TRANSFER STUDENTS in ANY GRADE must show proof of:

  • Certified Copy of Birth Certificate
  • Complete Immunization Record including:
  •     - DPT           
  •     - Measles – 2 doses
  •     - Mumps/Rubella -2 doses
  •     - Polio
  •     - Chicken Pox – 2 doses
  • Lead Screening
  • Physical Exam - Parents, please be sure to complete and sign the past health section of the physical exam form before returning it to the school office.
  • Dental Exam - Completed in the prior 18 months before the first day of school.
  • Eye Examination - Completed in the 12 months prior to the first day of school.

Students entering 2ND GRADE must show proof of:

  • Dental Exam

Students entering 6TH GRADE must show proof of::

  • Complete Immunization Record including:           
  •      -Chicken Pox – 2 doses            
  •      -Meningococcal Conjugate (MCV4) – 1dose
  •      -Hepatitis B – series includes total of 3 doses
  •      -Tdap
  • Physical Exam
  • Dental Exam

Students entering 9TH GRADE must show proof of:

  • Complete Immunization Record including:             
  •      -Chicken Pox – 2 doses
  •      -Tdap
  • Physical Exam

All Students entering 12th GRADE must show proof of:

  • Meningococcal Conjugate (MCV4) – 2 doses: If the first dose of MCV4 was administered ≥ 16 years of age, then only 1 dose of MCV4 is required at 12th grade entry.

All Students entering 6th-12th GRADE must show proof of:

  • Current Tdap Immunization

 

 

 

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