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State of Illinois School Health Requirements

Included on this page is the Health information needed for when enrolling as a student at Manteno CUSD No. 5


 Health Services Student Information

 STATE OF ILLINOIS SCHOOL HEALTH REQUIREMENTS

The State of Illinois Certificate of Child’s Health Examination form is due October 15, of the current school year

Your child will be excluded from school on October 15, of the current school year until the forms have been

completed and turned in or you provide a signed letter or form from your doctor indicating your child has a

scheduled appointment and will receive any needed immunizations and/or tests.

The State of Illinois Dental Examination Report is due on or before May 15 of the current school year.

Completed forms may be faxed to Manteno CUSD No. 5 at (815) 802-7484. Authorized forms are available on the Manteno CUSD No. 5 website (www.manteno5.org.)


***Illinois Department of Public Health issues a New School Requirement for 2017-2018 School Year** 

 The immunization requirement consists of one dose of MCV4 vaccine (meningococcal conjugate vaccine) for 6th grade entrance and 2 doses for 12th grade entrance, unless the first dose is administered to a child who was 16 years of age or older, in which case only one dose is required at 12th grade entrance. 

NEW PRESCHOOLERS 

  •  Physical Examination must be completed within one calendar year prior to the date of entry. The exam must include up-to-date immunizations and medical history signed by the parent. Pre-Schooler's must have at least one dose of the pneumococcal vaccine (PCV14)

 KINDERGARTEN

  • Physical Examination must be completed within one calendar year prior to the date of entry. The exam must include up-to-date immunizations and medical history signed by the parent.
  • Eye Examination must be performed by a licensed optometrist within one year prior to the first day of school and submitted before October 15 of the school year.       
  • Dental Examination must be performed by a licensed dentist and submitted prior to May 15 of the school year. Dental exams must be completed within 18 months prior to the May15 deadline.

 2nd GRADE

  •  Dental Examination must be performed by a licensed dentist and submitted prior to May 15 of the school year. Dental exams must be completed within 18 months prior to the May 15 deadline.

 6th GRADE

  • Physical Examination must be completed within one calendar year prior to the date of entry. The exam must include up-to-date immunizations and medical history signed by the parent.
  • Proof of one dose of the Tdap vaccine for students entering sixth grade.
  • Dental Examination must be performed by a licensed dentist and submitted prior to May 15 of the school year. Dental exams must be completed within 18 months prior to the May 15 deadline.
  • NEW- Proof of one dose of MCV4 vaccine on or after the 11th birthday.

 9th GRADE

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

 12th GRADE

  •  NEW- Proof of MCV4 vaccine

 

 NEW STUDENTS FROM OUT OF STATE

  • Physical Examination must be completed within one calendar year prior to the 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 school and submitted before October 15 of the school year.

 STUDENTS TRANSFERRING FROM OTHER ILLINOIS SCHOOLS

  •  Transfer of current Illinois school health records (This includes: physical exam with up-to-date immunizations, dental exam and eye exam.)
  • School Health Requirements (Physicals, Immunizations, Dental, Vision) 2015-2016

Illinois State Board of Education websites: www.idph.state.il.us/about/shots.htm

 

Health forms can be found on our website www.manteno5.org.  Click on the Health Services tab, and click on Forms.


WAIVERS 

 MEDICAL OBJECTION

  • A statement from the MD, DO, APN or PA indicating that an immunization is “medically contraindicated” is acceptable and will be attached to the student’s physical exam form in lieu of the vaccination. In case of disease outbreak, the student must be excluded from school for 14 to 21 days of school, mandated by IDPH.
  • Should the condition of the child later permit immunization, the requirement will then have to be met.

 

RELIGIOUS EXEMPTION

  •  Requires the State of Illinois Form with a physician signed statement explaining the objections to physical exam, health screenings, and/or immunizations on religious grounds. General philosophical or moral reluctance will not provide a sufficient basis for exemption. In case of disease outbreak, students not up to date on immunizations must be excluded from school for 14 to 21 days of school, mandated by IDPH. 

 

  • PERSONAL IMMUNIZATION EXEMPTIONS ARE NOT VALID IN ILLINOIS PUBLIC SCHOOLS

 

 


SPORTS PHYSICALS 

  •  A yearly Sports Physical is required for all Athletes to participate on school sponsored athletic program. 
  •  The 6th and 9th graders will not need a separate sport physical.  
  •  All athletes in grades 7, 8, 10, 11 and 12 are required to have a yearly sport physical to participate in any school sponsored athletic program.
  •  Sports Physicals are good for 395 days from the date of the physical.  

Physical forms can be found by going to the Forms tab, under Health Services, as well as in both the High School and Middle School Main Offices.


MEDICATIONS 

OVER THE COUNTER MEDICATION

Any over the Counter medication, not prescribed by a Doctor, such as *Cough Drops*, Tums, and other OTC remedies, will only be administered when accompanied by the Parent Request for Administration of Medication at School Form. All Over the Counter Medication must be in the original packaging, with the students name, name of medication and dosage.

*Students are not administered Cough drops in the Elementary or Early Childhood Center due to choking hazards.

 

PRESCRIPTION MEDICATION AND SELF ADMINISTERED MEDICATION

Forms for Prescription Medication and Self Administered Medication can be found on the website (www.manteno5.org), click on HEALTH SERVICES then on FORMS.

 

 

**Students will not be given Prescription and/or over-the-counter-medications without a completed Medication Authorization Form. (This form is available on this website or from either of the nurses)


Many physicians’ offices become very busy during the late spring and summer months. I encourage you to call and make your appointments early. A list of Area Walk in clinics is available on the www.manteno5.org Website.

 

Please Contact Kim Couch at 815-928-7249 for questions or e-mail at kcouch@manteno5.org

84 N Oak | Manteno, IL 60950 | Ph: 815-928-7000 | Fx: 815-468-6439