District Health Expectations and Forms

Last Updated: 7/27/2023 2:57 PM


State of Illinois Health Requirements for 2023-24 School Year



Health Forms and Grade Level which they are needed



Medication that is Needed at School
Documentation from the Doctor is Required 

Administer Medication Form


Inhaler needed at School 
Asthma Action Plan Form (Both Pages)


Epi Pen Plan /  Allergies 
Allergy Emergency Action Plan and Treatment Authorization Form (Both Pages)


Food Substitution Form (Required)
Physician Statement for Food Substitution


Religious Exemption Form
Physician Statement for Required Immunizations

for Families


COVID-19 Guidelines and Safety Procedures


Flu Guide for Parents


Any Questions
Please Do Not Hesitate to Call Your Student's School Nurse!