Health Forms & Guidelines

Please provide a Certificate of Child Health Examination by October 15th. The completed examination must:

1. Include a Health History section to be completed by the parent/guardian, found at the top of the second page.
2. Include all of the required immunizations.
3. Include a completed lead risk assessment section. All students between 6 months and 6 years of age must have the lead risk assessment documented and blood test completed if the assessment indicates this. For those living in zip code 60456, a lead blood test is required and the results must be documented. 

According to the regulations of the State of Illinois, by October 15th of your child's Kindergarten grade year all Illinois students are required to provide a:

• Certificate of Child Health Examination: The completed physical examination must:
  • Include a completed diabetic risk assessment section.
  • Include a Health History section to be completed by the parent/guardian, found at the top of the second page.
  • Include all of the required immunizations, including the newly required second dose of the varicella/chickenpox vaccine.
  • Include a completed lead risk assessment section. All students between 6 months and 6 years of age must have the lead risk assessment documented and blood test completed if the assessment indicates this. For those living in zip code 60456, a lead blood test is required and the results must be documented.
  • Have been completed within one calendar year prior to the first day of Kindergarten.
• Proof of School Dental Examination
• Proof of Eye Examination

A completed physical examination must be submitted to the school by October 15th of the Kindergarten school year or your child will be excluded from school until this requirement is met. 

• Proof of School Dental Examination

According to the regulations of the State of Illinois, by October 15th of their Sixth Grade year, all Illinois students are required to provide a:

• Certificate of Child Health Examination: The completed physical examination must:
  • Include a completed Diabetic Risk assessment section.
  • Include a Health History section to be completed by the parent/guardian found at the top of the second page.
  • Include all of the required immunizations, including the newly required meningococcal vaccine.
  • Have been completed within one calendar year prior ro the first day od Sixth Grade.
• Proof of School Dental Examination

A completed physical examination must be submitted to the school by October 15th of the Sixth Grade school year. If the completed physical examination form is not received by October 15th, your child will be excluded from school until this requirement is met. 

• ALL transfers must have an Illinois Certificate of Child Health Examination Form
• ALL transfers from out of state must have an Eye Examination
• If the student is entering Kindergarten, Second or Sixth grade, they must comply with the above requirements