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Health Requirements

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Health Requirements and Forms

Health Requirements for Registration:

  • PreK- Physical/ IDPH Immunizations
  • Kindergarten- Physical/IDPH Immunizations, Eye Exam and Dental Exam
  • 2nd grade- Dental Exam
  • 6th grade- Physical/IDPH Immunizations, Dental Exam
  • 9th grade- Physical/IDPH Immunizations
  • 12th grade- MCV4 Immunization after 16th birthday
  • Students new to Illinois Schools- Physical Exam (Illinois form or equivalent), IDPH Immunizations, and Eye exam (Illinois form or equivalent), all due within 30 days of enrollment.

Dental Exams due by May 1

Physical Exam/Immunizations or appointments cards due at registration  

Eye Exam or appointment cards due at registration

 

MEDICAL FORMS BELOW:

 

 

Pre K Health Requirements PreK Requirements-Spanish
Kindergarten Health Requirements Kindergarten Health Requirements-Spanish
2nd Grade Dental Requirements 2nd Grade Dental Requirements-Spanish
6th Grade Health Requirements 6th Grade Heath Requirements - Spanish
9th Grade Health Requirements 9th Grade Health Requirements-Spanish
12th Grade Meningoccocal Requirements 12th Grade Meningoccocal Requirements-Spanish

Dental Exam Proof

Dental Exam Proof Spanish

Dental Exam Waiver

Dental Exam Waiver Spanish

Eye Exam Report

Eye Exam Report - Spanish

Eye Exam Waiver

Eye Exam Waiver - Spanish

Miles of Smiles Consent Form

Miles of Smiles - Spanish

Medication Authorization Form

 

School Physical (ALL STUDENTS- ALSO SERVES AS SPORTS PHYSICAL FOR GRADES 5-9)

School Physical - Spanish (FOR ALL STUDENTS. ALSO SERVES AS SPORTS PHYSICAL FOR GRADES 5-9)

Pre Participation Physical Form

Pre Participation Physical Form

 

 

Asthma Action Plan

Food Allergy Action Plan

 

Jessica Lamm, RN

school nurse

Wesclin CUSD #3

TE (618) 224-9411 ext 3101

WHS (618) 224-7341 ext 5603

lammj@wesclin.org

 

Mackenzi Biggins, BSN, RN, PEL-CSN 

School Nurse Wesclin CUSD #3 

NBE 618-588-3535  ext 2130

WMS 618-224-7355 ext 1106

 
 

 

 

                               

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