WebProof of this physical examination and immunization record must be submitted on the required state form. The physical examination must have been completed within one year prior to the first day of school. STUDENTS WILL NOT BE ALLOWED TO START SCHOOL WITHOUT A CURRENT PHYSICAL EXAM AND IMMUNIZATIONS. Web*However, a physical exam completed on the “Certificate of Child Health” form may be used as a sports physical. Minimum Immunization requirements must be met including: Proof of one dose of Tdap is required for students entering grades 6-12 ... Students entering a State of Illinois school for the first time. Eye Exams or waiver must be ...

Forms - cms.illinois.gov

Web11/2015 (COMPLETE BOTH SIDES) Printed by Authority of the State of Illinois State of Illinois Certificate of Child Health Examination Certificates of Religious Exemption to … WebA child who was enrolled in an Illinois school, left the state and then returned to Illinois at a later time would only be required to obtain a new physical at the required grade levels, K, 6, 9. (Example: Child started school in Illinois in Kindergarten and submitted the required ... attached to the physical examination form. Revised 4-25-13 ... font that looks windy

Illinois State Board of Education

WebState of Illinois Certificate of Child Health Examination IL444-4737 (R-01-12) ... PHYSICAL EXAMINATION REQUIREMENTS Entire section below to be completed by MD/DO/APN/PA … WebPre-Participation Physical Examination Form Pre-Participation Physical Examination Form (Spanish) IHSA Performance-Enhancing Substance Policy IHSA Banned Substance … Webapparent clinical contraindications to practice and can participate in the sport(s) as outlined on this form. A copy of the physical examination findings are on record in my office and can be made available to the school at the request of the parents. If conditions font that looks normal