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Health Requirements 

Health Requirements for the 2020-2021 School Year

 

 In preparation for any upcoming medical, dental or vision exam appointments   you may be planning for your child, we are providing a list of the physical,   dental and vision requirements per the Illinois School Code for the 2020-2021 school year.

 

The following are Illinois School health requirements:

State of Illinois Certificate of Child Health exam (Physical Exam) with up to date immunizations:

  • Pre-Kindergarten
  • Kindergarten
  • 6th Grade 

 

Print the State of Illinois Certificate of Child Health Examination form (physical form).

Date must be within 12 months prior to the student's start date in the district.

  • A parent or legal guardian must complete, sign and date the health history portion on the second page of the health examination form. 
  • If the student is required to have a sports physical, the Certificate of Child Health examination may be accepted as proof of examination for interscholastic sports. 

Please note the State of Illinois Certificate of Child Health Examination form is the only form that will be accepted for incoming Pre-K, Kindergarten, incoming 6th graders and any student entering an Illinois school for the first time. 

 

Immunizations

Immunization records must be current and complete. A complete list of immunization requirements in the State of Illinois is available here https://www.isbe.net/Documents/Clarification-immunization-requirements-school.pdf

  • All required immunizations must be turned in on or before October 15th of the current school year or your child will be excluded from school.

 

Religious Exemption

In order for a student to qualify under "religious exemption" the following form needs to be submitted to the school nurse to waive immunizations and/or physical examinations due to religious beliefs https://www.isbe.net/Documents/immun-exam-gdlns-religious-exempt.pdf If you have more than one student complete one for each student. Please note, if your child qualifies under the "religious exemption" they are subject to exclusion from school in the event of a vaccine-preventable outbreak. 

 

Dental Examination

Dental examinations are required for all students entering:

  • Kindergarten 
  • Second grade
  • Sixth grade 
Click on the link to obtain the Illinois Dental examination form

http://www.idph.state.il.us/HealthWellness/oralhlth/DentalExamProof10.pdf

 

Eye Examination

Eye examinations are required for students entering Kindergarten. The eye examination form must be submitted by October 15th of the current school year. Eye examination completed within 12 months prior to October 15th of the current school year are acceptable. Click on the link to obtain the State of Illinois Eye examination report http://dph.illinois.gov/sites/default/files/forms/eye-examination-report-050216.pdf

 
 
Please contact the Health Office with any questions, 708-447-8030 ext. 120 or email health@komarek94.org