The required health forms shown below are due to CHA by the first day of school, August 16, 2021, for all students entering Grade 12. Please email the forms as attachments to Health Services with a subject line as follows: Health Forms – Last Name, First Name (for example: Health Forms – Doe, Susie)


◘ Updated Immunization Record Signed by a Physician or Nurse
  • Must include proof of two Meningitis vaccinations. The first dose is required on or after 11th birthday; second dose is required on or after the 16th birthday. However, if your child did not receive the first vaccine until age 16 or older, then only one dose is required.
  • Please refer to the Health Services page for all the State of Illinois Immunization Requirements.
◘ Athletic Forms
  • Athletic forms are required only if your student will be participating in school sports, but must be submitted before student even attends a practice or conditioning.
  • Full details are on the Required Health Forms – Athletics page.

Find links to all forms on the main Health Services page. You may wish to print this page out so you know which forms are needed for your student.

Special Medical Conditions and Other Health Forms

If your student has a special medical condition that we should be aware of, and/or would like them to be able to receive prescription or over-the counter medication as needed, authorization forms are required. Information on the following health items, and their related forms, are available on the Health Services page via the Special Medical Conditions button:

  • Allergies
  • Emergency action plans
  • Prescription Medication Authorization
  • Over-the-counter (OTC) Medication Authorization (such as Tylenol, Benadryl, etc.)
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