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Medication & Required Health Forms


  • All medications including prescribed and over-the-counter must be brought in by an adult in the original packaging, with the student’s name, medication name and dosage. Medication is not to be sent with students to school.
  • Students will not be given prescription and/or over the counter medication without a completed Medication Consent form. This form is completed by the students health care provider and signed by the parent. 


  • A Student Self-Administration of Asthma Medication Consent Form must be completed by the parent/guardian and a copy of the original box/prescription must be kept on file.
  • An Asthma Action Plan (AAP) is required for students with asthma. The AAP is completed by the students healthcare provider. 


  • The Illinois Food Allergy Emergency Action Plan and Treatment Authorization form is available for students who have food allergies and may require necessary medication during the school day. 
  • The form needs to be filled out and signed by the parent/guardian and students healthcare provider.

Health Forms

Allergy History Form

Allergy Emergency Action Plan

Certificate of Child Health Exam

Students entering PreK, Kindergarten, 6th and 9th grades must have a physical exam dated within 1 year.  A sports physical does not count for these grades.

Dental Exam

Students entering Kindergarten, 2nd, 6th and 9th grades are required to have a dental exam on file by May 15th of the current school year.  Dental exams must be dated within 18 months of that date.

Eye Exam

All Kindergarten students are required to have an eye exam completed by an optometrist or ophthalmologist upon entry of Kindergarten.

Medication Authorization

This form should be completed if a student is going to take any prescription or non-presciption medication at school.

Asthma Action Plan