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Emergency
Card |
MUST BE TURNED IN BEFORE THE FIRST DAY OF ATTENDANCE, one
for each student. This blue card will be mailed home prior to the next
school year. Blank cards will be available in the school office or at Processing
Days in August. Please bring information with you as indicated on this form to
complete the blue card. |
Health Form
(State Physical with Immunization Record) |
MUST BE TURNED IN PRIOR TO THE FIRST DAY OF ATTENDANCE.
Required by the State for any age IF the first year in school, otherwise
required for K and 6th grade. Exam must be recorded on the state form
and be signed by the parent and physician.
Note: Sport Exams for SJC 5th-8th grade is a different
form and a different exam. The sport exam does not meet the above requirement.
However, if your child has an exam using the above form IT IS okay for sports. |
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Medication Policy: Parent
Medication Authorization Form
and Physician Form |
Please read the Medication Policy.
Bring medications for school to Processing Day.
Students must have a Medication Authorization form
on file in the nurse office- 2 page form must be complete and signed by the
physician AND parent/guardian in order for the student to receive ANY medication
at school. This form is required for students who carry there own Asthma
Inhalers. Additional/new forms are required if medications are added or
changed. |
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Kindergarten Eye Examination Form |
Illinois law requires that proof of an eye examination by an optometrist or
physician who provides complete eye examinations be submitted to the school no
later than October 15th of the year the child is first enrolled or as required
by the school for other children. The examination must be completed within one
year prior to the child beginning school.
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Dental Examination Form |
Required for K, 2nd, and 6th grades. Must be completed
within 18 months prior to the May 15th deadline. For example, a child that had a
dental exam after Oct.16th of their 1st grade year may use that exam to comply
with the 2nd grade requirement
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Asthma/Allergy Action Card
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Please have this form completed by the physician prescribing a
plan of action for specific emergency responses for asthma, food allergies,
insect stings, etc. If you have questions please contact the school nurse.
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