Back-to-School Health Information

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Child Health Examination

Certificate of Child Health Examination Form - (PDF)

Eye Health

Eye Examination Report - (PDF)

Eye Examination Waiver Form - (PDF)

Food Allergies

Emergency Epinephrine Act - Physician's Toolkit - (PDF)

Guidelines for Managing Life-Threatening Food Allergies in Illinois Schools (ISBE)


Beginning fall of 2013, all students entering, transferring, or advancing into 6th, 7th, 8th, 9th, 10th, 11th or 12th grades will be required to show proof of receipt of one dose of Tdap vaccine (containing tetanus, diphtheria, acellular pertussis). Most students may have already received the vaccine and simply need to provide the school with verifying documentation from the family health care provider. See attached letters and posters for more information.

Parent Letter - En Español - PDF
Parent Poster - En Español - PDF
Provider Letter - PDF
Provider Poster - En Español - PDF

Immunizations and Compliance with State Law - PDF

K-12 School Immunization Requirements
Child Health Examination Code (77 Ill. Adm. Code 665)

College Immunization Requirements
College Immunization Code (77 Ill. Adm. Code 694)

Oral Health

Proof of School Dental Examination Form - (PDF) En Español - (PDF)

Dental Examination Waiver Form - (PDF)  En Español - (PDF)

"Ride the Healthy Teeth Trail" Oral Health Coloring Book - (PDF)  En Español - (PDF)

Tobacco Prevention

Protecting Your Children From Tobacco Use (CDC)


idph online home
Illinois Department of Public Health
535 West Jefferson Street
Springfield, Illinois 62761
Phone 217-782-4977
Fax 217-782-3987
TTY 800-547-0466
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