Please be reminded that it is the responsibility of the parent/guardian to ensure that the required documents are provided to the school in the required time frames.

The table below illustrates the requirements.

Requirements forPhysical ExamDental ExamEye ExamImmunization Requirements
EC
X
X
K
X
X
X
X
1
2
X
3
4
5
6
X
X
X
7
8
9
X
X
10
11
12
X
New to IL
X
K,2,6
X
X

New Students (first time attending an Illinois school)

Parents/guardians need to submit the following documentation:

  1. Physical exam form completed within one year of the first day of attendance
  2. Eye examination form completed within one year of the first day of attendance
  3. Dental exam form from the most recent of K, 2nd, or 6th grade
  4. District 301 New Student Health Questionnaire

The state of Illinois requires that physical and eye exam forms be submitted to the school by October 15th. If a student is enrolling after October 15th, the physical exam form must be submitted before the first day of attendance; see ILCS 5/27-8.1(1). Records will be reviewed for compliance with Illinois requirements.

Transfer Students (transferring within the state of Illinois)

Parents/guardians need to submit the most recent physical exam, eye exam, and dental exam forms that meet the state requirements as indicated in the table above and should complete a District 301 New Student Health Questionnaire. Parents may bring these from the student’s previous Illinois school. Documents should be submitted before the first day of attendance or a completed Student Transfer Form (ISBE form 33-78) from another Illinois school may be accepted.

Exam Requirements and Deadlines for All Students

Physical Examinations

Immunizations

Eye Examinations

  • Eye Exam Requirements
  • The state of Illinois requires that eye exam forms be submitted to the school by October 15th
  • Exams must be conducted by a licensed optometrist or a physician licensed to perform complete eye examinations
  • Screenings conducted in school do not fulfill the requirement
  • Reports must be dated within one calendar year prior to the first day of attendance
  • Eye Exam Report Form
  • Eye Exam Waiver Form

Dental Exams

IHSA / IESA Health Requirements

  • Students participating in school sponsored sports must have an annual sports physical turned in prior to the start of the sports season
  • An IHSA / IESA sports physical does not fulfill the physical requirement for school enrollment
  • IHSA Sports Physical Form

Medications at School

Medication (both prescription and over the counter) can only be administered at school in Illinois when required documents have been completed by the parent/guardian and healthcare provider and are on file in the school health office. In District 301, specialized forms are required for asthma, diabetes, seizures, and significant allergies. (See Chronic Health Conditions below.) The Med-A form may be used for prescription or over the counter medication which needs to be administered daily or on an as-needed basis.

The Guidelines on Administration of Medications in Illinois Schools is under revision.

Significant or Chronic Health Conditions

To promote wellness, District 301 encourages the development of individual health plans for students with significant or chronic health conditions. If your child has diabetes, asthma, allergies, or seizures, please complete the necessary forms located below. Contact your building nurse to develop an individualized plan for any other concerning conditions. For students with asthma, if an individual care plan is not received, the D301 Emergency Asthma Protocol will be followed.

Privacy Practices

State law mandates strict privacy rules. As a result, school personnel cannot contact a doctor, dentist, nurse, or pharmacist about a student, health records, or health exams unless the parent/guardian gives written consent. If desired, a consent form permitting communication between health care professionals and the school nurse can be provided to the school.

Absences and Illness

Refer to your building handbook located on each school’s individual web page for specific guidelines on absences, contagious illnesses, injuries at school, and medication administration.

Resources

The District and building guidelines are based on the recommendations of the following government agencies:

Immunization Report

Illinois Public Act 097-0910 requires schools to make publicly available the immunization data reported to the State Board of Education. Immunization Report 2017-2018

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