It is important that your child receives the State of Illinois
required health examinations and immunizations while on break from school. Please schedule an appointment with your health care provider
as soon as possible as
the first day of school (August 19th) is the date that proof of the examinations and immunizations is required to be provided to the school nurse.
Health Requirements
Kindergarten
(1st if non-kdg)
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X |
X |
X |
X |
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2nd Grade
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|
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X |
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6th Grade
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X |
X |
X |
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9th Grade
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X |
X |
X |
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12th Grade
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|
|
|
|
X |
Students New to CM 201-U
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X |
X |
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Students New to IL
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X |
X |
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X |
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*Immunizations: DTP or DTaP, Polio, HiB, Pneumococcal Conjugate, Hepatitis B, MMR, Varcilla, MCVV
The
Certificate of Child Health Examination needs to be completed and signed by a licensed physician, nurse practitioner or physician's assistant. Only the approved State of Illinois Certificate of Child Health Examination form is accepted. The examination must have been completed after August 19, 2019, that is, within the 12 months prior to the first day of school.
The Will County Health Department (815-727-8670) can be contacted for the immunization clinics.
Check the following
BEFORE submitting the Certificate of Child Health Examination:
- Health care provider has signed under the completed immunizations section AND on the bottom of the second page
- Height, weight and blood pressure is recorded on the form
- Lead Risk Questionnaire completed for children age six years or younger
Forms for Download
Completed health forms can be emailed to
[email protected] or sent by fax to (708) 627-2615.
If you have any questions, please contact Kate Lynch-Hale, Health Coordinator at (708) 367-8350.