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Required for children age 6 months through 6 years enrolled in licensed or public school operated day care, preschool, nursery school and/or kindergarten. (Blood test required if resides in Chicago or high risk zip code.)
Required for children aged 6 months through 6 years enrolled in licensed or public-school operated day care, preschool, nursery school and/or kindergarten. (Blood test required if resides in Chicago or high-risk zip code.)
Date. 1. Clinical diagnosis is acceptable if verified by physician. *(All measles cases diagnosed on or after July 1, 2002, must be confirmed by laboratory evidence.) 2. History of varicella (chickenpox) disease is acceptable if verified by health care provider, school health professional or health official.
The purpose of a school health center is to improve the overall physical and emotional health of school age children and youth by promoting healthy lifestyles and by providing accessible preventive healthcare.
Requires IDPH to: Develop and implement administrative rules to include an age‐appropriate developmental screening and an age‐appropriate social and emotional screening as part of the health examination for all school children in Illinois. Revise the Child Health Examination form.
Proof of physical exam and immunization dates and records must be submitted on the Child Health Examination Form. Download this form and have it completed, signed, stamped and dated by your child's health care provider.
Health care provider (MD, DO, APN, PA, school health professional, health official) verifying above immunization history must sign below. If adding dates to the above immunization history section, put your initials by date(s) and sign here.) 1. Clinical diagnosis is acceptable if verified by physician.