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School Health Forms

Need help accessing a form? Please contact your school nurse or call the District Office at 847-990-4200 if you need a form in another language, need help completing a form, or need the information in another format.

Download Required Health Forms

Families may need one or more of the forms below depending on the student’s grade level, enrollment status, or health needs. Please contact your school nurse if you are unsure which form applies to your child.

When Health Forms Are Due

  • Health forms are not required to begin registration

  • Forms must be submitted within 30 days of enrollment

  • Requirements vary by grade level

Failure to submit required forms may impact school attendance.

How to Submit Medical Forms

You can submit your child's medical forms in one of the following ways:

  1. Upload: Submit the forms when registering in PowerSchool.
  2. In-Person: Turn in the forms at your child's school front office (only when students are in session) or the District Office (available year round).

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School Nurse Directory

Eaylah Smith-Trinidad

Title: Nurse
Location: Townline Elementary, Hawthorn School of Dual Language
Email:

Heidi Stankiewicz

Title: Nurse
Location: Middle South
Email:
Phone Numbers:
School: 847-990-4100 ext. 4118

Shelby Vojcak

Title: Nurse
Location: Elementary North
Email:
Phone Numbers:
School: 847-990-4514
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Physical Exams and Immunization Requirements

Illinois law requires physical exams for students entering kindergarten, sixth grade, and for new enrollees from outside Illinois. A health examination report, signed by a physician and dated within the past 12 months, must be on file with the District. Immunization records for measles, mumps, rubella, diphtheria, tetanus, pertussis, polio, and varicella are required. Sixth graders must also have completed the hepatitis B series, a Tdap booster, and one meningococcal conjugate vaccine (MCV) given on or after their 11th birthday.

If health records are not compliant with Illinois School Code and submitted by October 15, the student will be excluded from school until compliance is met. The exam must be documented on the Illinois Certificate of Child Health Examination form. IESA sports physical forms are not acceptable.