QUESTIONS AND ANSWERS REGARDING HEALTH REQUIREMENTS FOR SCHOOL ATTENDANCE  
  
                               
1. When does the State of Illinois require my child to have a physical exam in order to attend school?
Prior to:  entering a school program below the kindergarten level, transferring from out-of-state or out-of-country, entering kindergarten and entering 6th grade.

2. Is a new physical exam required if a child is transferring within Illinois?
No.  However, records must be complete and received within 30 days of enrollment.  Students without up-to-date records will be excluded after 30 days.

3. Is a new physical exam required if a child transfers from out-of-state or country?
Yes, a physical exam on the IL form (within the last year) is required within 30 days of enrollment.  Students without a physical exam and proof of immunizations will be excluded after 30 days.

4. Must the Illinois Certificate of Child Health Examination form (current form 11/2015) be used?
Yes, unless the other form contains the EXACT information that is contained on the Illinois form.

5. Does participation in athletics and athletic tryouts require a yearly physical exam?
Yes, a sport physical must be filed with the school nurse prior to tryouts; if a sixth grade student is compliant with the school physical requirements, a sport physical is not needed.  The physical must be less than thirteen months old before try-outs and must not expire (thirteen months from exam date) before the season is over. 

6. How do I know if the Certificate of Child Health Exam form is filled out correctly?
a. The top two lines on side 1 along with the health history on side 2 must be completed by you and signed where indicated (“Parent/Guardian’s Signature/Date.”)
b. The immunization section must be completed or immunization record attached, and signed by your physician or immunization provider.
c. The physician must complete the section that states “Entire below to be completed by MD/DO/APN/PA”.  Please make sure the height, weight, BMI, B/P, along with the diabetes screening section is completed.
d. The physician must complete the section that states child may/may not participate in physical education. 

7. Does my child need to be tested for lead poisoning?         
Lead screening is required for all children entering early childhood, pre-k or kindergarten for the first time.  The “Lead Risk Assessment Questionnaire” must be completed and reviewed by the physician and notated on the examination form.  If any answers are a “yes” response, your child must have a blood lead test done with the results documented on the “Certificate of Child Health Exam”.

8.   What immunizations does the State of Illinois require prior to attending school?
   DIPHTHERIA, PERTUSSIS, TETANUS (DTP or DtaP)
Entering program below Kindergarten:  3 doses. 
Entering Kindergarten:  4 doses with the last dose qualifying as a booster on or after the 4th birthday
* NEW REQUIREMENT (Fall 2013):*  Students entering 6th thru 12th grades - one dose of Tdap (tetanus, pertussis).

   POLIO (TOPV or IPV) 
Entering program below Kindergarten:  3 or more doses administered no less than 4 weeks apart.
Entering grade level K-12:  4 or more doses of any combination of IPV and OPV; or 3 or more doses of all IPV or all OPV, with the last dose on or after the 4th birthday.
                                                
   MEASLES/ MUMPS/RUBELLA (May be given as MMR) 
Entering program below Kindergarten:   1 dose on or after 1st birthday but prior to 24 months of age.     
Entering grade level K-12:  *NEW REQUIREMENT (Fall 2014):*  second dose at least 4 weeks (28 days) after first dose.

   HEPATITIS B
Required for students entering Pre-K and 6th grade:  3 doses administered at recommended intervals.  
  
   HAEMOPHILUS INFLUENZAE TYPE B (Hib) and PNEUMOCOCCAL CONJUGATE VACCINE (PCV) 
Early-childhood and Pre-K only:  Primary series (2-4 doses before 12 months) or 1 dose after 15 months of age.
Any child 5 years of age or older shall not be required to provide proof of immunization with Hib or PCV.

   VARICELLA (chicken pox) 
Entering grade level K-8:  one dose on or after first birthday
*NEW REQUIREMENT (Fall 2016):*  Students entering K, 1st, 2nd, 6th, 7th or 8th grade - *second dose at least 4 weeks (28 days) after first dose.

   **MENINGOCOCCAL CONJUGATE VACCINE**
*NEW REQUIREMENT (FALL 2015):*
 One dose required at entry to 6th  or 7th grade

9. Is my child required to have a Dental Exam on file?
Dental Exams are required for students entering kindergarten, 2nd and sixth grades; must be on the “Proof of School Dental Examination Form” (IL IOCI 0600-10) and must be completed within 18 months of the May 15th deadline.

10. Is my child required to have an Eye Exam on file?
Eye exams are required for students entering kindergarten or if first entry into an Illinois school; must be completed on the “Illinois Eye Examination Report” (IL IOCI 1271-09), must be completed by an optometrist or physician who provides complete eye examinations (ophthalmologist) and must be completed within one year of the October 15th deadline.