Student Health Examinations

Certificate of Child Health Examination

  • Students entering kindergarten (or first grade if no previously enrolled in kindergarten), sixth and ninth grades at any Illinois public or private school (including charter schools) must provide proof of physical examination on a form approved by both the Illinois Department of Public Health and the Illinois State Board of Education.  Students entering an Illinois school from out of state or out of country for the first time at any grade level must also provide the physical exam form.  This exam must be completed no earlier than one year (365 days) prior to the start of attendance at an Illinois School.

 

IL Dept. of Public Health Eye Examination Report

 

IL Dept. of Public Health Eye Examination Waiver Form

    •  All children enrolling in kindergarten in a public, private, or parochial school and any student enrolling for the first time in a public, private, or parochial school are required to have an eye examination.
    • Examinations must be performed by a licensed optometrist or medical doctor who performs eye examinations, as specified in Illinois Department of Public Health administrative rules. He/she shall complete and sign the Eye Examination Report form, as designated and available on the Illinois Department of Public Health and the Illinois State Board of Education websites.
    •  Before October 15 of the school year, each child to whom the eye examination requirement applies is required to present proof of an eye examination by a licensed optometrist or medical doctor who performs eye examinations, as specified in the Illinois Department of Public Health administrative rules.
    • The required eye examination must be completed within one year prior to the first day of the school year in which the child enters kindergarten or the child enters the Illinois school system for the first time, whether entering a public, private, or parochial school.

 

IL Dept. of Public Health Proof of Dental Examination Form

 

IL Dept. of Public Health Dental Waiver Form

    • All Illinois children in kindergarten, grade 2, and grade 6 are required to have an oral health examination.  This is required for all public, private, and parochial schools.
    • Examinations must be performed by a licensed dentist, and he/she must sign the Proof of School Dental Examination form.
    • Each child is required to present proof of examination by a dentist prior to May 15 of the school year.  School dental examinations must have been completed within the 18 months prior to the May 15 deadline.