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Physical, Dental, and Vision Forms

Please submit all required forms to your child's school health office.  District 205 requires all students to be in compliance with state mandated physical examination/immunization requirements by October 15th of each school year. 

District 205 policy information regarding state andates for health, vision and dental requirements:

  • 2012-13 Immunization Requirements

  • Health Examination Form, 2012.pdf  / Certificado De Examen De Salud Del Niño(a)  - Illinois law requires that all students have health examinations administered by a physician prior to enrollment in kindergarten, sixth and ninth grades. Children entering from schools outside the community must present a medical report which must be dated within the previous twelve months. All middle school and high school students who plan to participate in school 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.

  • Dental Examination FormFormulario Comprobante Del Examen Dental Escolar - Illinois law requires that all students have dental examinations administered by a licensed dentist in kindergarten, second and sixth grades.

  • Vision Exam Form - Illinois law requires that all kindergarten and students new to the district have a vision examination administered by an optometrist or ophthalmologist.

Due Dates

  • Illinois law requires proof of an eye exam be completed by October 15th for all kindergarten students as well as any new student entering the district for the first time. This exam can be done by an optometrist or a physician who provides comprehensive eye examinations.
     
  • Students in Kindergarten, 2nd, and 6th grade are required to have a dental exam completed by May 15th of that school year.