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Health Forms

 

Illinois Department of Public Health [IDPH]

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FORM LIST:

  • IHSA & IESA Sports Physcial Form health requirements english version English
  • IDPH Physical & Immulization Form health requirements english version English
  • IDPH Physical & Immulization Form health requirements english version Spanish
  • IDPH Dental Form health requirements english version English
  • IDPH Dental Form health requirements english version Spanish
  • IDPH Dental Waiver Form  health requirements english version English
  • IDPH Dental Waiver Form health requirements english version Spanish
  • IDPH Proof of Vision Exam Form health requirements english version
  • IDPH Vision Waiver Form health requirements english version
  • Medication Administration Letter & Formhealth requirements english version  English
  • Medication Administration Letter & Form health requirements english version Spanish
  • Health Questionaire Form [English]  health requirements english version
  • Health Questionaire Form [Spanish] health requirements english version
  • Allergic Reaction Packet [includes documents and forms] health requirements english version English
  • Asthma Packet [includes documents and forms] health requirements english version English
  • Seizure Packet [includes documents and forms] health requirements english version English
  • Diabetes Packet [includes documents and forms health requirements english version English

 

Department Links
Contact Us

Central High School
Cindy Drafall, MS, RN, ILCSN

Melissa Baumgartner, RN

Central Middle School
Anne Jones, RN  

Prairie Knolls Middle School
Vicki McFarland, RN

Country Trails Elementary
Sue Dossey, RN

Howard B. Thomas
Grade School
Jane Lullo, RN, BSN, ILCSN

Lily Lake Grade School
Sandy Ubelhart, RN  

Prairie View Grade School
Ann Bryant, RN, BSN, ILCSN 



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