Lake Forest School District 67

Required Health Examinations & Immunizations

The following information is important to meet the health and safety needs of our students. Please complete and return the following forms to be in compliance with the mandatory requirements as set by the state of Illinois for students entering early childhood/preschool, kindergarten, second, sixth grade and students entering Illinois at any grade for the first time.

Students transferring from out of state or country must have a physical exam completed within one year prior to Illinois school entrance on a comparable form. All transfer students shall have 30 days following registration to comply with the health examination and immunization requirements.

The Certificate of Health Examination form is due PRIOR to the first day of school, and is required by the state of Illinois for students entering early childhood/preschool, kindergarten, second, sixth grade and students entering Illinois at any grade for the first time. Return it to School Nurse's Office. Please make your health care appointments early so your child's health record is properly completed and returned prior to the first day of school.

Please review your form, verify and check the information below to insure you are in compliance with all state of Illinois health requirements.
- Physical exam was completed within one year prior to my child's first day of school.

Immunizations section completed according to the schedule of the Illinois Department of Public Health signed and dated by my health care provider.
Health history section (back/top of form) completed, dated and signed by the parent/guardian.
All sections completed (back and front), form signed and dated by my health care provider AND includes health care provider’s name, address and telephone number clearly written or stamped on the form.

The Certificate of Health Examination form must be returned to the School Nurse's office prior to the first day of school. It is advisable to make copies of the form for your own records.

The State of Illinois Eye Examination Report form is due PRIOR to the first day of school and is required for kindergarten and students entering school in Illinois at any grade for the first time. An optometrist or physician who provides eye examinations must complete the report.
- The eye examination must be completed one year prior to the child beginning school.
The Proof of School Dental Examination Form is due by May 15 of the current school year. However, we advise parents to take care of this requirement as soon as possible. A dental examination is required for students entering kindergarten, second, and sixth grade.
- The dental examination must be performed within 18 months PRIOR to May 15 of the current school year.

Families will be informed of the State of Illinois School Exclusion policy that outlines details of student's exclusion from school until the above health information is completed and filed with the school. If you need assistance or explanation, please contact the school nurse.

If your child requires any type of medication during the school day, a Medication Authorization Form must be completed by the parent and signed by the prescribing physician. No medication (prescription or non-prescription) can be given to your child at school without these forms on file.

Thank you for your attention to this important health requirement. The safety and well being of our students is always a top priority.