Health Services Information

Physical Examinations/Immunizations

Students must have their physical exams and immunizations before the first day of school. Students will not be allowed to attend school until these screenings are complete. Appointment cards will not be accepted as a pass into school.

Physical Exams: Students are required to have a physical examination before entering a preschool program, kindergarten, 6th and 9th grades, and all new students entering a State of Illinois school for the first time.

Physical Exam Form - English
Physical Exam Form - Spanish

Please see the following document for immunization requirements for each grade level.

Immunization Requirements - Fall 2016

 

Dental/Vision Exams

Dental Exams:  Students are required to have a dental exam on file for kindergarten, 2nd and 6th grades.

Dental Exam Form - English
Dental Exam Form - Spanish

A waiver form may be submitted in place of a dental exam if a student shows undue burden or lack of access to a dentist.

Dental Exam Waiver Form - English
Dental Exam Waiver Form - Spanish

Eye Exams: Students are required to have an eye exam on file for kindergarten and all new students entering a State of Illinois school for the first time.

Eye Exam Form

A waiver form may be submitted in place of an eye exam if a student shows undue burden or lack of access to an optometrist or physician who performs eye exams.

Eye Exam Waiver Form

 

Sports Physicals

All middle and high school students who plan to participate in sports are reminded that physical examinations must cover them throughout the entire sports season.  Sports physicals are required every year since they are effective for twelve months only. Athletes will not be able to participate in practice until the examination form is completed and turned into the Athletic Office.

IHSA Exam Form

 

Medication

All students who are required to take medication (over-the-counter or prescription) during school hours must have a completed School Medication Authorization Form on file with a parent and a physician signature.  The School Medication Authorization Form must be completed annually or whenever there is a change in medication and/or dosage.  All asthma and epinephrine that will be maintained by the health office will require the following form.

School Medication Authorization Form - English
(Parent and Physician Signature Required)

School Medication Authorization Form - Spanish
(Parent and Physician Signature Required)

 

Epinephrine (Epi-Pen) Self-Administration

The following form will need to be competed by the parent and prescribing physician if the student will be self-administering and keeping in their possession epinephrine.

Epinephrine (Epi-Pen) Self-Administration Form - English
(Parent and Physician Signature Required)

Epinephrine (Epi-Pen) Self-Administration Form - Spanish
(Parent and Physician Signature Required)

 

Important Information about Asthma (effective January 1, 2017)

Illinois Public Act 099-0843 became active on January 1, 2017. This new law requires both public and private schools to request from parents of students with asthma an Asthma Action Plan (AAP). The primary care physician caring for your child will be able to readily provide this documentation. If and when a student’s Asthma Action Plan is provided to school officials, it will be kept in the office of the school nurse.

This same law also requires school personnel that work with pupils with asthma to complete training on the management of asthma, prevention of symptoms in the school setting and emergency response in the school setting. Plano School District #88 administration is requiring that all employees complete this training.

If the school health office can assist you in any way with getting an asthma action plan please notify your student’s school nurse. Asthma action plans are available at your students’ school as well as on the district web site. If you have any questions, or if I can assist you in any way, please contact Health Services Supervisor, Sue Gerardot, at 630/552-3178, ext. 7514.

Asthma Action Plan Letter to Parents (English and Spanish)

Sample Asthma Action Plan

Asthma Protocol to be Used by District Personnel

The following form will need to be completed by the parent with the prescribing asthma medication label attached, if the student will be self-administering and keeping the inhaler in their possession.

Asthma Inhaler Self-Administration Authorization Form - English
(Parent Signature Required)

Asthma Inhaler Self-Administration Authorization Form - Spanish
(Parent Signature Required)

 

Registration - Student Health History Form

For parents who prefer to fill out their student's Health History Form on paper, please download the form and return to the school nurse.

Student Health History - English
Student Health History - Spanish


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