2023 – 2024 Medical Forms
State of Illinois Health Form * – Due Aug 11, 2023, required for students entering Pre-Nursery, Kindergarten, 6th Grade and all New Hillel Torah students in Pre-Nursery through 8th Grade
- For the health and safety of our school community and as mandated by the State of Illinois, students are required to have their medical forms submitted before they can start school.
- As part of the health exam, state law requires immunization for communicable diseases for ALL students. State law mandates that no student be allowed entry to school without proof of immunization. Personal or religious exemptions are not accepted.
- Physical Exam Extension Request – Please contact the office directly ([email protected]) if you have health exams scheduled beyond August 11.
Note: All forms dated from October 2022 ARE valid for this upcoming school year until your child has their yearly physical, and a more current form is available. If you are unsure of which vaccinations your child has received, please contact your physician’s office.
Allergy Action Plan – Due Aug 11, if applicable
Asthma Action Plan – Due Aug 11, if applicable
- Any student that has Asthma and/or an allergy to food or medications needs to have an action plan form filled out by their medical doctor and signed by both the doctor and by the parent. A new form is required every year.
Dental Form – Due Aug 11, for all students entering Kindergarten, 2nd, and 6th grade
Vision Form – Due Aug 11, for all students entering Kindergarten and students new to Illinois
Please email all forms directly to [email protected] by August 11.