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CHANGES TO PHYSICAL FORM AND IMMUNIZATION REQUIREMENTS

 In 2015 the State of Illinois Department of Human Services issued a new/revised "Certificate of Child Health Examination" (school physical) form (Dated: 11/2015) that will be required for the 2016/2017 school year. Please begin to use this form now. The form is available on our web page or in the nurse's office at either school.

 *Ask your doctor about the changes to the Varicella, MMR, Tdap and Meningococcal requirements*


Sports Physicals

 A new sports physical is required each year for students to try-out for and participate in a competitive sport. A current physical must be turned in to the nurse's office before the first day of try-outs. The sports physical must be less than 395 days old before try-outs and must not expire (395 days from exam date) before the season is over. A sixth grade student who is in compliance with the 6th grade school physical requirement does not need to get a sports physical. 


Health Form Requirements

 Below is a brief summary of the exams and forms that are required for each grade level.

 Physical: students new to Illinois, early childhood, pre-k, kindergarten and 6th grade

 Proof of immunizations
: students new to Illinois, early childhood, pre-k, kindergarten and 6th grade

 Dental exam: kindergarten, 2nd grade and 6th grade

 Eye exam: students new to Illinois and kindergarten

If you have any questions or need forms, contact the nurse. All required forms are available to download from the nurse's web page.


Students with Asthma and Food Allergies

 If your child has asthma and/or food allergies, please get an “Action Plan” and new medication authorizations for any medication that will need to be given at school. All necessary forms are available on the nurse’s web page or in the nurse's office.


Food Substitution

Shiloh School District participates in a federally-funded Child Nutrition Program and any meals, milk, and snacks served must meet program requirements.  Reasonable food accommodations will be made if we have a medical statement from your physician. Reasonable food accommodations may be made for children without disabilities who may still have special dietary needs, a medical statement is required.  If you are requesting a meal accommodation or substitution, please ask your physician to complete and sign the Physician Statement for Food Substitution form found in the nurse's web page. 


Religious Exemption

 On August 3, 2015, Public Act 099-0249 was enacted that changes the process for parents or legal guardians seeking a religious exemption to any required immunizations or examinations for their children. The new law requires that parents or legal guardians who object on religious grounds to complete a Certificate of Religious Exemption, which must also be signed by the physician, advanced practice nurse or physician assistant responsible for performing the student examination. The healthcare provider signature on this new form attests to informing the parent or legal guardian of the benefits of immunization and the health risks of not vaccinating the student. The certificate also requires the parent or guardian signature to attest to understanding that their child may be excluded from school in the case of a vaccine-preventable disease outbreak or exposure.

Use of the Certificate of Religious Exemption form is required beginning October 16, 2015 for all students entering kindergarten, sixth or ninth grades when the parent(s) or legal guardian(s) is requesting a religious exemption. This form also must be submitted to request religious exemption for any student enrolling to enter any public, charter, private or parochial preschool, kindergarten, elementary or secondary school on or after October 16, 2015.

The instructions for completing the Certificate of Religious Exemption form and the actual form are included in the nurse’s web page. These documents are also posted on the Public health website at www.dph.illinois.gov (then Search on “religious”).