Physical and Dental Forms
In compliance with State-mandated physical examination/ immunization requirements all students entering Early Childhood, Kindergarten, sixth and ninth grades must have a physical examination by a doctor.
To ensure adequate protection and a positive start to the new school year for all of our students, the nursing staff asks that ALL required physical examinations/ immunizations be submitted to the District or your child's school as soon as possible. (Please make a photocopy of all submitted exam forms to keep for your own records.) At the high school level, forms may be mailed to York High School Health Services, 355 W. St. Charles Road, Elmhurst, IL 60126/Attention: Pat Hatz.
The Certificate of Child Health Examination, Proof of Dental Examination and Proof of Vision Exam may be picked up at your child's school office, the District 205 Center, 162 S. York Street, or downloaded below. Questions may be directed to your child’s school office/health office.
Due to the high demand for medical appointments with local physicians, it is recommended that you schedule appointments as soon as possible.
Following are the immunization/medical examination guidelines required by school policy and State law:
- All health examinations must be dated within one year before entering Madison Early Childhood Education Center, Kindergarten, sixth and ninth grades.
- All health examinations must be dated within one year of entering school when a student transfers from another Illinois school district and is entering Kindergarten, sixth or ninth grade.
- Health examinations are required whenever an out-of-state student first enrolls in a District 205 school, regardless of the student’s grade.
Failure to comply with the above requirements by October 15 can result in the student’s exclusion from school until the required completed health forms are presented to the District.
In addition to the physical examination and immunization requirements, the Illinois State Board of Education requires proof of a vision exam for all Kindergarten students, as well as for any new student entering the District for the first time. Vision exams must be documented on the Illinois Department of Public Health vision form. Parent(s)/guardian(s) must present proof of their child/children having been examined by an ophthalmologist or an optometrist before October 15 of the current school year for students entering Kindergarten and new students to the school district.
Dental exams are also required for students entering Kindergarten, second and sixth grades. Dental exams must be documented on the Illinois Department of Public Health dental form. Parent(s)/guardian(s) must present proof of their child/children having been examined by a licensed dentist before May 15 of the current school year.
All middle and high school students who plan to participate in sports are reminded that physical examinations must cover them throughout the entire sport season. Sports physicals are required every year since they are effective for twelve months only. These students should schedule appointments accordingly.
All students who are required to take medication (over-the-counter or prescription) during school hours (including inhalers, Epi-Pens, and insulin) must have a completed Medication Authorization Form on file, which is signed by the doctor and Parent/Guardian. The Medication Authorization Form must be completed annually or whenever there is a change in medication and/or dosage.
The Illinois State Board of Education requires the school district to notify parents of the medication policy within 15 days of enrollment.