IMPORTANT INFORMATION ABOUT MEDICAL REQUIREMENTS FOR 2020-21

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  All forms can be found by clicking on the links below and are attached to this announcement. You can download them or pick them up from the school office. We must have the correct forms on file for students to attend classes.
  EASY GUIDE FOR REQUIREMENTS (VISION AND HEARING SCREENING NOT INCLUDED)
  
  Physical and Immunization
  Child Health Examination Forms (11/15)  
  
  Students entering kindergarten (or first grade if not previously enrolled in kindergarten), sixth and ninth grades at any Illinois public or private school (including charter schools) must provide proof of physical examination on a form approved by both the Illinois Department of Public Health and the Illinois State Board of Education. Students entering an Illinois school from out of state or out of the country for the first time at any grade level must also provide the physical exam form. The exam must be completed no earlier than a year (365 days) prior to the start of attendance at an Illinois school.
  
  The Child Health Examination Form labeled 11/15 must be used by students who need to provide proof of the physical exam for the school year 2020-21. Either of the Child Health Examination Forms labeled 11/15 or 2/13 are acceptable for students prior to the school year 2017-18.
  
  Illinois law requires that schools have on file medical verification of certain immunizations for students entering school. Immunization dates and records must be submitted on the Child Health Form, signed, stamped, and dated by the health care provider. A complete list of immunization requirements is available in six languages at http://www.immunize.org.
  • CHILD'S PHYSICAL EXAMINATION FORM CAN BE FOUND AT: http://www.dph.illinois.gov/sites/default/files/forms/certificate-ofchild-health-examination-03032017.pdf.
  • CERTIFICADO DE EXAMEN DE SALUD DEL NIÑO(A): http://www.dph.illinois.gov/sites/default/files/forms/certificateof-child-health-examination-enespanol-042116.pdf.
  
  Immunization Requirements
  Illinois state law requires immunization records to be on file. A schedule of Child and Adolescent Immunizations is available on the Centers for Disease Control website.
  
  Dental Exams
  In compliance with Illinois Public Act 093-0946, by May 15th of that school year, students entering kindergarten, 2nd and 6th grade are required to have a dental exam on file. The dental exam form is available on the Illinois Department of Public Health website. The form in Spanish can be found at https://www.isbe.net/Documents/dentalexamform20191022sp.pdf.
  
  Eye Exams
  Illinois law requires proof of a comprehensive eye examination for all children entering kindergarten or enrolling in a public, a private or parochial school for the first time in Illinois. The examination must have been completed within one year prior to the child beginning school and submitted to the school no later than October 15th of the year the child is first enrolled. The examination must have been completed within one year prior to the child beginning school. The eye exam form is available on the Illinois Department of Public Health website.
  
  Vision and Hearing Screenings are done annually for all students in pre-school, special education, kindergarten, second and eighth grade as well as for all new-to-district students. Vision Screening also is done for students in fifth grade. Hearing Screening also is done for students in first and third grades. Additionally, vision or hearing screenings can be requested by a parent or teacher.
  
  Kindergarten Health Requirements
  The following Illinois health requirements must be met prior to completing registration for a child entering kindergarten: physical examination was done within one year prior to the first day of school, a required blood lead test or assessment in compliance with Section 7.1 of the Lead Poisoning Prevention Act, all necessary immunizations completed within one year prior to the first day of child care. Additionally, proof of a comprehensive eye exam is due by October 15th and proof of a dental exam is due by May 15th (see above sections).
  Please click the links below for the required forms:
   
   
  2020-21 Certificate of Child Health Examination_Physical_Immunizations 
   
  2020-21 Certificate of Child Health Examination_Physical_Immunizations Spanish
   
  2020-21 PROOF OF SCHOOL DENTAL EXAMINATION FORM
   
  2020-21 FORMULARIO COMPROBANTE DEL EXAMEN DENTAL ESCOLAR
   
  2020-21 DENTAL EXAMINATION WAIVER FORM
   
  2020-21 FORMULARIO DE RENUNCIA VOLUNTARIA DEL EXAMEN DENTAL ESCOLAR (waiver)
   
  2020-21Eye Examination Report
   
  2020-21 Eye Exam Waiver