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Religious Exemption Bulletin

Health Examination Form

School Year 2016-17 Immunization Requirements


Compliance School Code for Health Exams and Immunizations

Section 665.270 Compliance with the School Code

A child shall be considered in compliance with the health examination and immunization requirement in Section 27-8.1 of the School Code if all applicable immunizations that a child can medically receive are given prior to entering school and a signed statement from a health care provider is presented indicating when the remaining medically indicated immunization will be administered.  Local school authorities shall monitor immunization schedules to assure their completion.  If a child is delinquent for a scheduled appointment for immunization, he/she is no longer considered to be in compliance.

(Source:  Amended at 29 Ill. Reg. 18127, effective October 24, 2005)


Child Health Exams and Immunizations

If a child does not submit proof of having had either the health examination or the immunization as required, and present proof by October 15 of the current school year, or by an earlier date of the current school year established by a school district, then the local school authority shall exclude that child from school until such time as the child presents proof of having had the health examination as required and presents proof of having received those required immunizations which are medically possible to receive immediately. If the student is an out-of-state transfer student and does not have the proof required before October 15 of the current year or whatever date is set by the school district, then he or she may only attend classes if he or she has proof that an appointment for the required vaccinations has been scheduled with a party authorized to submit proof of the required vaccinations. If the proof of vaccination required under this subsection is not submitted within 30 days after the student is permitted to attend classes, then the student is not to be permitted to attend classes until proof of the vaccinations has been properly submitted.

Source: (105 ILCS 5/27-8.1) (from Ch. 122, par. 27-8.1)Sec. 27-8.1.

Health Services

The School Nurse, in cooperation with the parents, the family physician and the Public Health Department, endeavors to ensure that all students meet the necessary requirements for school admission with physical examinations and immunizations as required by law.  Each school has a health office, which is staffed by a Registered Nurse.

We strive to maintain a healthy school environment, for all children, in the management of basic health care needs. The parent, the school nurse, and teachers work together to facilitate management of long-term health conditions so all students will have successful educational opportunities within the school setting.

If you have any questions regarding your child's medical concerns at school, don't hesitate to call or email your school nurse.   If you are the parent of a student with a chronic health care need, please contact the nurse assigned to your child's school to discuss your child's needs.


Allergy Management at school

      If your child has a diagnosis of Food, Latex, or Insect Sting allergy, please contact their school Health Office and speak to the nurse.  In order to provide for a thorough healthcare plan for your child, we request that you provide a physician written Allergy Action Plan, physician orders for medication, parental authorization for medication administration, and also provide the medication to the health office. In the event suspected exposure or symptoms of exposure occurs, these are all important tools of treatment specific to the individual student.  Students who require access to emergency medication for allergy and also asthma are allowed to self-carry their medication, with the appropriate medication orders and parental authorization on file with the school nurse.  The Action Plan, medication orders and parental authorization must be updated each school year.  

     In 2011, Public Act 97-0361 was enacted to allow schools to maintain a supply of epinephrine auto-injectors (epipens) that can be used by the school nurse in case a student without a known allergy has a suspected anaphylactic reaction.  Elmhurst SD #205 maintains a small stock of undesignated epi-pens at each school, for treatment of students, who in the professional judgement of the school nurse, are experiencing an anaphylactic allergic reaction.  The undesignated epi-pens are maintained in the health office for the purpose of epinephrine treatment for those students who do not have a diagnosed allergy and need emergency treatment for a suspected allergic reaction.  

Health Locker

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Pertussis On the Rise in DuPage County and Across the U.S.

Cases of pertussis, also known as whooping cough, are on the rise. Several states have reported an increase in cases and/or localized outbreaks of pertussis (whooping cough). Pertussis is a highly infectious and usually mild illness that is easily transmitted through coughing and sneezing and may last for several months. Following increased disease activity since late 2010 and throughout 2011, the DuPage County Health Department has continued to receive reports of pertussis (whooping cough) cases in 2012, with the majority occurring in children and adolescents.

Most children are immunized against pertussis disease by receiving a series of vaccine doses known as DTaP (Diptheria, Tetanus and Pertussis). However, immunity wanes as they reach adolescence. Since 2005, there has been an adolescent/adult pertussis booster vaccine (Tdap) that can be used for prevention and control of pertussis. Tdap vaccine is recommended to be routinely given at ages 11-12 years.

More information is available from the Illinois Department of Public Health and the national Centers for Disease Control and Prevention

Facts sheets are also available in English and Spanish by clicking on the links below.

Pertussis Documents

When Should Your Child Stay Home?

Any illness which is accompanied by decreased energy and an inability to sustain usual daily activity level.


Diarrhea or Vomiting:  until illness is over and your child does not experience vomiting or diarrhea for at least 24 hours – without use of medicine.


Red eye(s) or Skin Rash:  Your child may return to school when accompanied by a doctor’s note which states your child is cleared to return to school.  If eye drop medication is prescribed, your child will need to complete 24 hours of medication at home, prior to returning to school.


Bad coughs/Cold Symptoms  (continual coughing, persistent runny nose, headache) which cause interference with your child’s ability to focus on school activities.


Fever of 100 degrees or greater, by mouth( or 99 degrees or greater under the arm).  Your child should be fever-free for 24 hours, without the use of medicine before returning to school.


If antibiotics are prescribed for communicable diseases, the medication must be given for 24 hours at home before the student returns to school. 

School Health Services Staff

Jennifer Conwell ,RN, BSN, PEL-SN, School Health Service Supervisor

Robbie Ostling, RNN, BSN, PEL-SN Assistant School Health Coordinator

Chris Holmes RN, BSN, PEL-SN Field Elementary School, Madison Early Childhood Center and Bryan Middle School

Pat Hatz, MSN, RN, NCSN, York Community High School

Athanasia, Nassopoulos, RN, BSN PEL-SN York Community High School

Charlene Roubiks, RN ,BSN, PEL-SN Emerson Elementary School and Conrad Fischer Elementary School

Pam Lerud, R.N ,Transition Center

Ashley Smith.R.N., Bryan Middle School

Roseanne Tansor  R.N., Sandburg Middle School

Katie Weppner R.N., Churchville Middle School

Dorothy Hamby, R.N., Edison Elementary School

MariJo Hecker, R.N., Bryan Middle School

Dipika Patel, R.N    .Field Elementary School

Danielle Fita R.N.Fischer Elementary School

Judy Thrall, R.N., Hawthorne Elementary School

Juanita Glassi ,R.N., Jackson Elementary School

Mariah Gasso , Jefferson Elementary School

Maggie Purtell, R.N., Lincoln Elementary School

Karen Pavone, R.N., Emerson Elementary School

Angela Ziccardi RN, Madison Early Childhood Center

Cara Janis, RN, Madison Early Childhood Center

Anne Lancaster, R.N., Substitute Nurse

Courtney Christoff, R.N., Substitute Nurse