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  1. PHYSICAL EXAMINATION: Students are required to have proof of a physical exam by a licensed health care provider on the required Illinois Certificate of Child Health Examination form within one year prior to:
    • Entering KINDERGARTEN or the first grade; 
    • Upon entering the SIXTH and NINTH grade; and
    • Enrolling in an Illinois school for the first time, regardless of the student's grade.

The DIABETES SCREENING portion of the exam form must be completed by the health care provider. The HEALTH HISTORY SECTION needs to be completed and signed by the parent or legal guardian.

2. IMMUNIZATIONS: Students are required to show proof of immunization against preventable communicable diseases as well as screenings as required by the Illinois Department of Public Health. The month/day/year for each immunization must be documented and verified by a health care provider.

  1. POLIO: Three or more doses of polio (IPV or OPV), at the appropriate intervals, with the last dose being a booster and having been received on or after the 4th birthday. Children who receive any combination of IPV and OPV doses must receive four doses.
  2. DTP/DTaP, or Td: Three or more doses, at appropriate intervals, with the last dose being a booster and having been received on or after the 4th birthday.
  3. Tdap: One dose of Tdap is required for students entering the 6th grade.
  4. MMR: Two doses: the first dose must be after the 1st birthday and the second dose no less than 28 days later.
  5. VARICELLA (chicken pox): One dose on or after the first birthday for students entering grades 4 & 5. Two doses of varicella for students entering 6th grade with the first dose to be received on or after the first birthday and the second dose no less than 4 wks (28 days) later. If the child has had chicken pox disease, a statement from the physician or health care provider verifying disease history OR lab evidence of varicella immunity can be accepted.
  6. HEPATITIS B: Children entering the 6th grade must show evidence of having received 3 doses of hepatitis B vaccine. The first 2 doses must have been received no less than 4 weeks (28 days) apart. The interval between the second and third dose must be at least 2 months. The interval between the first and third dose must be at least 4 months.
  7. MENINGITIS (ACWY vaccine): One dose of the meningococcal vaccine is required for students entering 6th grade. For students entering 12th grade, a second dose of the meningococcal vaccine is required on or after the 16th birthday and at an interval of at least eight weeks after the first dose. **Only one meningococcal dose is required if the first dose was received at 16 yrs of age or older.

DENTAL EXAMINATION (Kindergarten, 2nd grade, 6th grade, and 9th grade)

  1. Most tooth decay may be prevented with appropriate amounts of fluoride and with the use of dental sealants applied when the first permanent molars erupt at about age 6 years and second permanent molars erupt at about age 12 years.
  2. Dental exams must be completed on the Dental Exam Form 2019.pdf and is due on May 15th of the child's Kdg, 2nd grade, 6th grade, and 9th grade school years. Dental exams must be dated within 18 months prior to the May 15th deadline.
  3. The State has developed a waiverfor children who show an undue burden or a lack of access to a dentist.Dental Exam Waiver 2019.pdf

EYE EXAMINATION

  1. Kindergarten and students from out of state or entering public school for the first time must show proof of having an eye exam performed by an optometrist or a physician licensed to practice medicine in all of its branches.
  2. Eye exam must be completed on the State of Illinois Eye Exam Report Form and must be dated within 1 year of the first day of the current school year.
  3. The State has developed a waiver for children who show an undue burden or a lack of access to an eye doctor. Please contact the nurse in your child’s school if assistance is needed.

RELIGIOUS OBJECTION

Parents or guardians who object to examination(s) or immunization(s) on religious grounds are required to submit a completed Certificate of Religious Exemption to Required Immunizations and/or Examinations Form. This form must be completed by the parent/guardian and the child's health care provider.