STUDENT HEALTH FORMS
- Certificate of Child Health Examination/Immunization Form
IL Certificate of Religious Exemption to Required Immunizations/Examinations - Proof of Dental Examination Form or Dental Examination Waiver Form
- Vision Examination Form or Eye Exam Waiver Form
- Food Allergy Action Plan Form
- Asthma Action Plan Form
- Diabetes Medical Management Plan
- Seizure Action Plan
- Medication Authorization Form
- (HIPPA) Authorization for Use & Disclosure of Protected Health Information & Education Records
- Interscholastic Sports Physical Forms (Middle School students)
- Voluntary Student Accident Insurance Coverage (updated Aug. 2012)
When are these forms due? Go to this link for details.
Formularios de Salud:
- Certificado de examen de salud del nino (a)
- Formulario Comprobante Del Examen Dental Escolar
Formulario De Renuncia Voluntaria Del Examen Dental Escolar - Authorizacion de Medicina
- (HIPPA) Autorización para el uso y la divulgación de la información de salud protegida y los registros de educación
- Requerimientos de Salud de la Escuela (Health Requirements)
- Documentación Necesaria (Missing Information)
- Solicitud de Inmunización (Request for Immunization)