Student Health
Health Forms Required for Students (Returning & New)
A LETTER FROM THE SUPERINTENDENT Spring 2022
UNA CARTA DEL SUPERINTENDENTE Primavera 2022
Deliver completed forms to the school your student will attend: School Addresses
Mail will be received at all District schools throughout the summer.
Students RETURNING to District 96:
Health forms required for students entering Grade 2 or Grade 6 who were enrolled in a District 96 school in the previous school year:
Grade 2:
- Proof of Dental Exam OR Waiver Request Form
(due by May 15, 2023, for 2022–23 SY)
Grade 6:
- Certificate of Child Health Examination/Immunization Form OR
Illinois Certificate of Religious Exemption to Required Immunizations and/or Examinations Form
(due to school by Aug. 1, 2022, for 2022-23 SY)
Certificate of Child Health Examination/Immunization Form-Spanish or Waiver Request
(due to school by Aug. 1, 2022, for 2022-23 SY) - Proof of Dental Exam or Waiver Request Form
(due to school by May 15, 2023, for 2022-23 SY) - Middle School Interscholastic Sports Requirements
For specific details regarding the 6th-grade forms - please go to this link
2022–23: Student Participation Consent Form
2022–23: Formulario de permiso de los padres para que su estudiante participe en actividades y deportes
Students "NEW" to District 96 (including all kindergartners):
Health forms required for students NEW to District 96 (all grade levels):
- Certificate of Child Health Examination/Immunization Form* (Grds. K-8) OR
Illinois Certificate of Religious Exemption to Required Immunizations and/or Examinations Form
(due to school by Aug. 1, 2022, for 2022-23 SY) - Entering kindergarten OR New to Illinois in Grades 1–8
Vision Examination Form
(due by Oct. 15, 2022, for 2022–23 SY)
or Eye Exam Waiver Form - New to District 96 AND entering Kdg., 2nd grade, or 6th grade:
Proof of Dental Exam Form
(due by May 15, 2023, for 2022–23 SY)
or Dental Waiver Request Form - Middle School Interscholastic Sports Requirements Learn More
Grade 6 Form (1) Required: - Grades 7 or 8 Forms (2) Required:
2022–23:
Student Participation Parent Consent Form
Formulario de permiso de los padres para que su estudiante participe en actividades atleticas y deportes
AND
Middle School Interscholastic Sports Physical Form
* For transfer students from out of the state or the country, a health form that is comparable to the Illinois requirements may be acceptable only at the time of first entry into an Illinois school.
Exclusion Policy
In keeping with our Exclusion Policy, students who are not compliant with the physical examination and immunization requirements will not be allowed to attend school. Parents with questions should contact their student's school nurse by calling his or her school.
Find School Phone Numbers
More Student Health Resources
2022-23 Health Form Packet | Parent Letter (Spanish)
- Lake County Health Department - Immunization clinic info
- Download Medical, Dental, and Vision Forms here (individual forms)
- Health Guidelines - Send to School or Keep Home?
- Frequently asked questions about Head Lice
- District Food Allergy Management Program/Guidelines & Info
- Approved Snack List | Approved Snack List-Spanish (Products Pictured)
- Sports/Activities Parent Information & Forms
Tdap Vaccine Requirements
All students entering, transferring, or advancing into 6th, 7th, 8th, 9th, 10th, 11th or 12th grades will be required to show proof of receipt of one dose of Tdap vaccine (containing tetanus, diphtheria, acellular pertussis). Most students may have already received the vaccine and simply need to provide the school with verifying documentation from the family health care provider.
For more info, please refer to: