Health Requirements

2022-23 Health Requirements

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 25th) is the date that proof of the examinations and immunizations is required to be provided to the school nurse.

Health Requirements
 Required by State of IL
Physical Exam
Proof of Immunizations*
Dental Exam
 Vision Exam
Meningococcal Conjugate (2)
(1st if non-kdg)
 X  X  X  X  
 2nd Grade
 6th Grade
 X  X  X    
 9th Grade
 X  X  X    
12th Grade
Students New to CM 201-U
 X  X      
 Students New to IL
 X  X    X  

*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 25, 2021, 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 708-847-7002.

If you have any questions, please contact Kate Lynch-Hale, Health Coordinator at (708) 367-8350.

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