Student Health

Health Forms Required for Students (Returning & New)

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:

  1. Proof of Dental Exam OR Waiver Request Form
    (due by May 15, 2019, for 2018–19 SY) (due by May 15, 2020, for 2019–20 SY)

Grade 6:

  1. 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. 2, 2019, for 2019-20 SY) 
    Certificate of Child Health Examination/Immunization Form-Spanish or Waiver Request
    (due to school by Aug. 2, 2019, for 2019-20 SY) 
  2. Proof of Dental Exam or Waiver Request Form 
    (due to school by May 15, 2019, for 2018-19 SY) (due to school by May 15, 2020, for 2019-20 SY)
  3. Middle School Interscholastic Sports Requirements
    For specific details regarding the 6th-grade forms - please go to this link
    2018–19: Student Participation Parent Consent Form
    2018–19: Formulario de permiso de los padres para que su estudiante participe en actividades y deportes
    2019–20: Student Participation Consent Form
    2019–20: 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):

  1. 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. 2, 2019, for 2019-20 SY)
  2. Entering kindergarten OR New to Illinois in Grades 1–8
    Vision Examination Form (due by Oct. 15, 2018, for 2018–19 SY) (due by Oct. 15, 2019, for 2019–20 SY) or Eye Exam Waiver Form
  3. New to District 96 AND entering Kdg., 2nd grade, or 6th grade:
    Proof of Dental Exam Form (due by May 15, 2019, for 2018–19 SY) (due by May 15, 2020, for 2019–20 SY) or Dental Waiver Request Form
  4. Middle School Interscholastic Sports Requirements Learn More 
    Grade 6 Form (1) Required:
    2018–19: Student Participation Parent Consent Form
    2018–19: Formulario de permiso de los padres para que su estudiante participe en actividades athleticas y deportes
    2019–20: Student Participation Parent Consent Form
    2019–20: Formulario de permiso de los padres para que su estudiante participe en actividades athleticas y deportes
    Grades 7 or 8 Forms (2) Required:
    2018-19:
    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
    2019–20:
    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.

Download Illinois Certificate of Religious Exemption to Required
Immunizations and/or Examinations Form

Find School Phone Numbers

More Student Health Resources

2018 – 2019 Health Form Packet  |  Parent Letter (Spanish)
2019 – 2020 Health Form Packet  |  Parent Letter (Spanish)

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: