IMPORTANT INFORMATION ABOUT MEDICAL REQUIREMENTS FOR 2020-21

 

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.
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

EMERGENCY & ASTHMA ACTION PLANS AND IMPORTANT INFORMATION ABOUT ADMINISTRATION OF MEDICATION-Needs filed each year

If your child has life-threatening allergies, we must have an emergency action plan filled out by you and your child’s physician and if we need to administer medication we will need a Medication_Paperwork_For Parent_and Doctor form. You will need to send a copy of the plan into school with your student along with the medication that has been prescribed by a physician in the original container with the pharmacy label. We are not able to administer any medication without this on file.

If your child suffers from asthma and needs to use their inhaler during school hours, we must have an Emergency Asthma Action Plan on file. You will need to send a copy of the plan into school with your student along with the medication that has been prescribed by a physician in the original container with the pharmacy label. We are not able to administer any medication without this on file. Even if your child can use their inhaler (or nebulizer) on their own, we must have a Medication_Paperwork_For Parent_and Doctor Form on file.
If the doctor prescribes anything that your child will need to take or apply (prescription or over-the-counter) we must have a signed form on file from the doctor's office as well as the Medication_Paperwork_For Parent_and Doctor Form on file. We can not give students any medication nor can they take any medication while attending school or school functions unless we have the paperwork on file.
 
Traducido por Google Translate. Por favor, perdona cualquier error.
PLANES DE ACCIÓN DE EMERGENCIA Y ASMA E INFORMACIÓN IMPORTANTE SOBRE LA ADMINISTRACIÓN DE MEDICAMENTOS: necesidades archivadas cada año
 
Si su hijo tiene alergias potencialmente mortales, debemos tener un plan de acción de emergencia completado por usted y el médico de su hijo y si necesitamos administrar medicamentos necesitaremos un formulario Medicación_Papeles_Para Padres_y Médicos. Deberá enviar una copia del plan a la escuela con su estudiante junto con el medicamento que le haya recetado un médico en el envase original con la etiqueta de la farmacia. No podemos administrar ningún medicamento sin esto en el archivo.
 
Si su hijo sufre de asma y necesita usar su inhalador durante el horario escolar, debemos tener un Plan de Acción de Emergencia para el Asma en el archivo. Deberá enviar una copia del plan a la escuela con su estudiante junto con el medicamento que le haya recetado un médico en el envase original con la etiqueta de la farmacia. No podemos administrar ningún medicamento sin esto en el archivo. Incluso si su hijo puede usar su inhalador (o nebulizador) solo, debemos tener un Formulario de Medicación_Trabajo_Para Padres_y Médico en el archivo.
 
Si el médico prescribe algo que su hijo necesitará tomar o aplicar (con receta o sin receta), debemos tener un formulario firmado en el archivo del consultorio del médico, así como el Formulario de Medicación_Trabajo_Para Padres_y el Doctor en el archivo. No podemos darles a los estudiantes ningún medicamento ni pueden tomar ningún medicamento mientras asisten a la escuela o las funciones escolares a menos que tengamos el papeleo en el archivo.

Medication Paperwork

Asthma Action Plan



Emergency Care Plan