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 Health Requirements 2017-2018


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PHYSICAL EXAMINATION, IMMUNIZATION, DENTAL AND VISION REQUIREMENTS 2017-2018

 

All students must be compliant with the State of Illinois Physical Examination and Immunization requirements on the first day of attendance.  Students that do not meet these requirements will not be allowed to attend school until these requirements have been met.

New:  Illinois Department of Public Health rules now mandate all students entering 6th grade must show proof of having received one dose of Meningoccal vaccine (meningitis) and all students entering 12th grade must show proof of receiving two doses of Meningoccal vaccine (meningitis) unless the first dose was given after the age of 16, then only one dose is required.  

New: Any child entering kindergarten, sixth, or ninth grade for the first time must show proof of having received two doses of varicella (chicken pox) or proof of immunity.

New:  All students currently enrolled in grades six through twelve, shall show proof of receiving one dose of Tdap (defined as tetanus, diphtheria, acellular pertussis) vaccine regardless of the interval since the last Dtap, DT or Td dose.

 


EARLY CHILDHOOD   Complete Physical Examination dated 8/19/15 or later upon entry into early childhood.  Second year early childhood students do not require an additional exam.   Lead blood test is required.  The state requires that the parent complete and sign the health history portion of the examination form.

 

IMMUNIZATIONS

DPT/DTaP          4 doses (including 1 booster)

IPV/OPV              3 doses (including 1 booster)

Varicella             1 dose after 12 months OR proof of immunity

MMR                   1 dose after 12 months

Hepatitis B          3 doses (at appropriate intervals)

Hib                      1 dose after 15 months

Pneumococcal   1 dose (if did not receive primary series of vaccine)

 

KINDERGARTEN           Complete Physical Examination dated 8/19/15 or later.  Lead blood test is required.   The state requires that the parent sign the health history portion of the examination form. A vision exam is required (see below).  A dental exam is required (see below).

 

IMMUNIZATIONS

DPT/DTaP          4 doses (last one after 4th birthday)

IPV/OPV              3 doses (last one after 4th birthday)

Varicella             2 doses after 12 months OR proof of immunity

MMR                   2 doses after 12 months

 

1ST-5TH GRADE              Must have previous kindergarten physical on file and be compliant with all immunization requirements. 2nd Grade requires a dental exam (see below).

 

6TH GRADE                     Physical examination dated 08/19/15 or later. The state requires the parent complete and sign the health history portion of the examination form.  MUST have 3 doses of Hepatitis B vaccine at the appropriate intervals.  MUST show proof of two doses of varicella (chicken pox) or proof of immunity.  MUST show proof of Tdap.  New- MUST show proof of one dose of meningococcal vaccine (meningitis). A dental exam is required (see below).

 

7TH-8TH GRADE              Must have previous 6th grade physical on file and be compliant with all immunization requirements.

 

9TH GRADE                     Physical Examination dated 08/19/15 or later.  The state requires the parent complete and sign the health history portion of the examination form.  Must show proof of two doses of varicella (chicken pox) or proof of immunity.

 

10TH-11TH GRADE        Must have previous 9th grade physical on file and be compliant with all immunization requirements.

 

12th GRADE                                     Must have previous 9th grade physical on file and be compliant with all immunization requirements.  NEW- all students entering 12th grade must show proof of receiving two doses of meningococcal vaccine (meningitis) unless the first dose was given after the age of 16, then only one dose is required.

 

                   

 

**Please Note:   The IHSA Pre-Participation Examination (sports physical) form is NOT acceptable as the school physical in 6th and 9th grades.

 

 

 

Dental Requirements:

A Dental Examination is required for all students in kindergarten, second and sixth grades.  The examination by a licensed dentist must be completed by May 15 of the school year that the child is in kindergarten, second or sixth grade.

 

Vision Requirements:

Students enrolling in a kindergarten program or enrolling for the first time in an Illinois public school shall submit proof of an eye examination.  Each child shall present proof of having been examined by a physician licensed to practice medicine in all of its branches or a licensed optometrist within the previous year, before October 15th of the school year.

 

Interscholastic Athletics:

Students wishing to compete in interscholastic athletics in middle or high school must present a completed physical examination form each year that they participate.  A completed school required physical examination on the Child Health Examination Form can be used as a sports physical.  This form must be on file before the student can attend any practice and must be dated within 395 days preceding the last day of the season for that sport.  Please note that the Illinois High School Athletic (IHSA) physical forms do not qualify for required school physicals.

STUDENTS TRANSFERRING FROM OTHER ILLINOIS SCHOOLS OR RETURNING TO IL SCHOOLFROM OUT OF STATE

         Students need to provide the documentation of the most recent physical, eye and dental exams that meet the state requirements listed in the grades above.  Documents are due within 30 days of the first day of attendance.

NEW STUDENTS FROM OUT OF STATE OR FIRST TIME EVER ATTENDING AN ILLINOIS SCHOOL

         Physical Examination must be completed within one calendar year prior to date of entry. The exam must include up-to-date immunizations and medical history.

         Eye Examination is required and must be performed by a licensed optometrist within one year prior to the first day of entry.

         Documents are due within 30 days of the first day of attendance.

 MEDICATIONS AT SCHOOL

         All over the counter medications as well as prescription medications will only be administered in school when a School Medication Authorization Form is on file in the health office and has been completed by the parent/guardian and the healthcare provider.  Specialized forms exist for asthma, diabetes, seizures and allergies.

HEARING AND VISION SCREENINGS

         The Illinois Department of Public Health requires certain grade levels be screened for hearing and vision. Vision screening is not a substitute for a complete eye exam by an eye doctor. If a student has completed an eye exam within the previous 12 months, and that evaluation is on file at the school, the child will not need to be screened. If any child fails either the hearing or vision screenings, the parent/guardian will receive a letter of notification.

 

        Please visit our school website at polo222.org under the health and wellness tab for printable health forms.


 

Vision Requirements:

Beginning with the 2008-2009 school year, all children enrolling in a kindergarten program or enrolling for the first time in an Illinois public school shall submit proof of an eye examination.  Each child shall present proof of having been examined by a physician licensed to practice medicine in all of its branches or a licensed optometrist within the previous year, before October 15th of the school year.

 

Interscholastic Athletics:

Students wishing to compete in interscholastic athletics in middle or high school must present a completed physical examination form each year that they participate.  A completed school required physical examination on the Child Health Examination Form can be used as a sports physical.  This form must be on file before the student can attend any practice and must be dated within one year preceding the last day of the season for that sport.  Please note that the Illinois High School Athletic (IHSA) physical forms do not qualify for required school physicals.

STUDENTS TRANSFERRING FROM OTHER ILLINOIS SCHOOLS

         Students need to provide the documentation of the most recent physical, eye and dental exams that meet the state requirements listed in the grades above.  Documents are due within 30 days of the first day of attendance.

NEW STUDENTS (TO ILLINOIS SCHOOLS) FROM OUT OF STATE

         Physical Examination must be completed within one calendar year prior to date of entry. The exam must include up-to-date immunizations and medical history.

         Eye Examination must be performed by a licensed optometrist within one year prior to the first day of entry.

         Documents are due within 30 days of the first day of attendance.

 MEDICATIONS AT SCHOOL

         All over the counter medications as well as prescription medications will only be administered in school when a School Medication Authorization Form is on file in the health office and has been completed by the parent/guardian and the healthcare provider.  Specialized forms exist for asthma, diabetes, seizures and allergies.

HEARING AND VISION SCREENINGS

         The Illinois Department of Public Health requires certain grade levels be screened for hearing and vision. Vision screening is not a substitute for a complete eye exam by an eye doctor. If a student has completed an eye exam within the previous 12 months, and that evaluation is on file at the school, the child will not need to be screened. If any child fails either the hearing or vision screenings, the parent/guardian will receive a letter of notification.


PRINTABLE HEALTH FORMS

 A copy of the State of Illinois Child Health Examination form can be accessed at:

http://www.idph.state.il.us/health/vaccine/child_hlth_forms/Child_Hlth_Exam_Cert.pdf

A copy of the State of Illinois Eye Examination Report can be accessed at:

http://www.idph.state.il.us/HealthWellness/EyeExamReport.pdf

A copy of the State of Illinois Eye Examination Waiver can be accessed at:

http://www.idph.state.il.us/HealthWellness/EyeExamWaiver.pdf

A copy of the State of Illinois Dental Examination form can be accessed at:

http://www.idph.state.il.us/HealthWellness/oralhlth/DentalExamProof10.pdf

A copy of the State of Illinois Dental Examination Waiver form can be accessed at:

http://www.idph.state.il.us/forms/ohpm/Dental%20Exam%20Waiver.pdf

A copy of the IHSA/IESA Pre-participation Examination form can be accessed at:

http://www.ihsa.org/documents/sportsMedicine/2013-14/Pre-participation%20Examination%202013-14%20042413.pdf