PRINTABLE HEALTH FORMS:

A copy of the Proof of School Dental Exam Form can be accessed at:

http://www.dph.illinois.gov/sites/default/files/forms/dentalexamproof10_0.pdf

A copy of the Proof of School Dental Exam Form (en espanol) can be accessed at:

http://www.dph.illinois.gov/sites/default/files/forms/dentalexamproofsp10.pdf

A copy of the Dental Examination Waiver Form can be accessed at:

http://www.dph.illinois.gov/sites/default/files/forms/dentalexamwaiver_0.pdf

A copy of the Dental Examination Waiver Form (en espanol) can be accessed at:

http://www.dph.illinois.gov/sites/default/files/forms/dentalexamwaiversp.pdf

A copy of the Certificate of Child Health Examination Form can be accessed at:

http://www.dph.illinois.gov/sites/default/files/forms/certificate-ofchild-health-examination-03032017.pdf

A copy of the Certificate of Child Health Examination (en espanol) Form can be accessed at:

http://www.dph.illinois.gov/sites/default/files/forms/forms-owh-child-health-exam-spanish-042916.pdf

A copy of the Certificate of Religious Exemption Form can be accessed at:

http://www.dph.illinois.gov/sites/default/files/forms/religious-exemption-form-081815-040816.pdf

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

http://www.ihsa.org/documents/sportsMedicine/2014-15/Pre-participation%20Examination%20041114.pdf

A copy of the School Medication authorization form can be accessed at:

 

 

Rev 5/15/17