Monday, March 30th, 2015


Students new to Illinois, entering the 6th grade or students planning to participate in sports will need a physical examination completed within the past year. Copies of the required physical examination form, ILLINOIS DEPT. OF HUMAN SERVICES, CERTIFICATE OF CHILD HEALTH EXAMINATION, are available from the school office or from the nurse or through the link below. Parents/guardians please complete the Health History Section, sign and date it before seeing your health care provider.

Every Middle School student must show proof of completion of having received the Diphtheria/Tetanus/Petussis series including Tdap booster, Polio, MMR, Varicella and Hepatitis B series. If any series is incomplete, a schedule for completion must be obtained from your healthcare provider for your child to attend school. 

You can click on the link provided below to download and print a blank copy of the State of Illinois Certificate of Child Health Examination form.