Child Health Examination (Physical)

Information and Forms

Child Health Examination (physical) and immunization record is required for students entering kindergarten, sixth grade, and ninth grade at any Illinois public or private school must provide proof of physical examination on a form approved by both the Illinois Department of Public Health and the Illinois State Board of Education. Students entering an Illinois school from out of state or out of country for the first time at any grade level must also provide the physical exam form. The exam must be completed no earlier than a year (365 days) prior to the start of attendance at an Illinois school.

Child Health Examination forms will need to be turned in by October 15th. After October 15, students could face exclusion until the examination is completed.

New students to the district from out of state or out of the country have 30 days from the first day of attendance to submit a health exam. For example, if a student’s first day in the district is January 20, that student has 30 days from that day to turn in a physical.

Preschool and Kindergarten:

  • Health Examination must be completed within one calendar year prior to the first day of school.

  • The exam must include up-to-

    date immunizations and medical

    history completed and signed by the parent.

  • The Diabetes Screening port MUST BE completed for the first entry into school — preschool or Kindergarten.

  • The Lead Screening portion MUST BE completed for the first entry into school — preschool or Kindergarten.

6th Grade:

  • Health Examination must be completed within one calendar year prior to the date of entry.

  • The exam must include up-to-date immunizations and medical historycompleted and signed by the parent.

  • Proof of one dose of Tdap vaccine and one dose of MCV4 (meningococcal conjugate vaccine) vaccine on or after the 11th birthday.

9th Grade:

  • Physical Examination must be completed within one calendar year prior to the date of entry.

  • The exam must include up-to-date immunizations and medical history completed and signed by the parent.