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Carterville CUSD #5

Come Learn with Us

Little Lions Health Forms

  • Pre-K Medical Authority Modified Meal Request Form

  • Pre-K Modified Meal Request by Parent/Guardian

  • Dental Exam Form

  • Dental Exam form (Spanish)

  • Dental Exam Waiver

  • Dental Exam Waiver (Spanish)

  • IL Certificate of Child Health Exam Form

  • IL Certificate of Child Health Exam Form (Spanish)

  • Religious Exemption Form

  • Asthma Action Plan IDPH

  • Eye Exam Waiver Form

  • State of IL Eye Exam Form

  • School Medication Authorization Form

  • Allergy Action Plan

  • Health Information Form

  • Tri-C New Student Health Requirements

Find Us

Carterville CUSD #5200 West Plaza DriveCarterville, IL 62918618-985-4826618-985-2041 (fax)

Schools

  • Carterville CUSD #5
  • Carterville High School
  • Carterville Junior High School
  • Carterville Intermediate School
  • Tri-C Elementary School

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