Below are some of the most commonly requested health forms as well as health information on a variety of topics. Click the links to view and download PDFs. Should you have any questions, contact your school nurse.
To skip directly to a certain section, click the links below:
Asthma Certificate of Child's Health Exam Dental Diabetes Food Allergies Homebound/Hospitalizations ISBE Student Health Data Immunizations Insurance School Medication Authorization Form Medication/Self-Administration Form Seizures
Asthma
Asthma Action Plan
School Medication Authorization Form
Certificate of Child's Health Exam
Certificate of Child's Health Exam (English)
Dental
Proof of School Dental Examination Form
Diabetes
Diabetes Medical Management Plan
Food Allergies
AAP Allergy and Anaphylaxis Emergency Plan
Please notify the school nurse and/or counselor when your child has been hospitalized. Most hospitals have tutors available but it remains the parents’ responsibility to coordinate between the school and hospital. A doctor’s note is required allowing the student’s return to school. For further information regarding Homebound/Hospital Instruction refer to the Township High School District 214 Student and Parent Handbook.
ISBE Student Health Data — By School (Submitted to ISBE 11/11/20)
Immunization
Clinics Clinics, Spanish
New Requirements
Religious Exemption Form Immunization Records Immunization record requests for current students can be obtained by contacting the school's student services department and completing an Immunization Record Request Form. No fees are required for these requests. Alumni can request immunization records by following the procedures outlined in the following PDF downloads. Click on your school icon to download Alumni Immunization Request Form. Non-enrolled students and alumni must pay a $10 fee for each immunization record requested. For further information regarding Procedure to Request a Transcript and/or Immunization Records, refer to the High School District 214 Student and Parent Handbook.
Adobe PDF Downloads
Insurance
Illinois All Kids application, English
Illinois All Kids application, Spanish
Medication/Prescriptions
Seizures
Seizure Action Plan
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