Physical Examination & Immunization Forms

• Physical Exam Form - English

• Physical Exam Form - Spanish

• Religious Exemption Form

• IHSA Exam Form (Sports Use Only)

Oral Health Forms and Waivers 

• Dental Exam Form - English

• Dental Exam Form - Spanish

• Dental Exam Waiver Form - English

• Dental Exam Waiver Form - Spanish

Hearing and Vision Forms 

• Eye Exam Form

• Eye Exam Waiver Form

• Hearing Form: Treating Physician's Report

• Audiogram Form

• IDPH Resources and Forms

School Medication Authorization Form - English 

School Medication Authorization Form - Spanish

Asthma Inhaler Self-Administration Authorization Form - English

Asthma Inhaler Self-Administration Authorization Form - Spanish

Epinephrine (Epi-Pen) Self-Administration Form - English

Epinephrine (Epi-Pen) Self-Administration Form - Spanish

AAP District Notification

Asthma Action Plan

Allergy Emergency Action Plan 

Diabetes Medical Management Plan

Seizure Action Plan 

Medical Authority Modified Meal Request Form