Health Information & Nurses

STATE OF ILLINOIS HEALTH REQUIREMENTS:

PHYSICAL EXAM AND REQUIREMENTS

IDPH Minimum Immunization Requirements

In accordance with Section 27-8.1 of the Illinois School Code, “a physical examination is required of all pupils within the calendar year prior to entrance in Kindergarten, 6th, and 9th grades and upon entrance into public, private, or parochial school, regardless of age or grade if that pupil has not previously been examined in accordance with Illinois state law”.

• This examination must be performed and signed by a physician licensed to practice medicine in all its branches, advanced practice nurses who have a written collaborative agreement with a physician, or physician assistants who have been delegated the performance of health examinations by their supervising physician.
• All portions of the examination form must be completed, including the student’s health history signed and dated by the parent/guardian, and complete dates of immunizations (month, day, year), signed by a health professional verifying the dates.
• Immunizations must comply with Illinois Department of Public Health regulations; this includes measles, mumps, rubella, diphtheria, pertussis, tetanus, polio, varicella, HIB, pneumococcal conjugate, Tdap, meningococcal, and the hepatitis series.
• If any immunization is contraindicated, there must be a physician’s statement noting the reason.
• Students registering from out of state have 30 days to meet this requirement.
• Parents or legal guardians who object, for religious reasons, to their child being immunized for school entrance must submit a Certificate of Religious Exemption, which now must be signed by a health care provider. Signed into law on August 3, 2015, this new legislation requires a health care provider to sign the certificate confirming they have provided education to the parents or legal guardians about the benefits of immunizations and the health risks of not vaccinating students. Parents/guardians objecting on religious grounds must submit in writing their objection with each of the kindergarten, 6th and 9th grade physicals. This requirement applies to students who either have been residents of Lisle 202 or have moved into District 202 from another Illinois school district.
• If the above requirements are not met by October 15 of the school year, the student will be excluded until a physician or parent/guardian provides proof.
   

DENTAL EXAMINATION

Dental Examination Form
or Waiver

Formulario Comprobante Del Examen Dental Escolar
o Formulario de Renuncia Voluntaria Del Examen Dental Escolar (waiver)

All children in kindergarten, 2nd, 6th, and 9th grades must have an oral health examination.

• Oral examinations that are valid for this requirement must be completed between November 15 of the previous year and May 15 of the current school year (18-month time span).
• Each child needs to present proof of examination by a dentist or a waiver before May 15 of the designated school year or the school may hold the child’s final report card.
   

VISION EXAMINATION

Eye Exam Form and Eye Exam Waiver

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 in the State of Illinois shall have an eye examination.

• Each child shall present proof of examination by a physician licensed to practice medicine in all of its branches or a licensed optometrist within the previous year before October 15 of the school year.
• An eye examination shall include a history, visual acuity, subjective refraction to best visual acuity near and far, internal and external examination, and a glaucoma evaluation, as well as any other tests or observations that in the professional judgment of the doctor are necessary.
• If the child fails to present proof by October 15th, the school may hold the child’s report card until one of the following occurs: the child presents proof of a completed eye examination, presents proof that an eye examination will take place within the next 60 days after October 15, or presents a waiver stating an undue burden or a lack of access to a physician or optometrist.
   

MEDICATION ADMINISTRATION AT SCHOOL REQUIREMENTS

If it is necessary for your child to take either prescription or over-the-counter medication at school, a medication authorization form must be completed by a licensed health care provider. This form must be updated annually. A parent/guardian must also sign the form and bring the medication to school in a clearly marked pharmaceutical container.

Resource for Low-Cost Physical/immunizations

Please refer to the Low-Cost Physical Information tab below or call the DuPage County Health Department at (630) 682-7560 for immunization clinics offered on a sliding scale basis.

DuPage County Immunization Information

MINIMUM IMMUNIZATION REQUIREMENTS FOR PRESCHOOL

• Diphtheria, Pertussis, Tetanus: 4 doses of DTP/DtaP
• Polio: minimum of 3 doses of IPV
• MMR: 1 dose received on or after the 1st birthday
• Hepatitis B: 3 doses received at proper intervals
• Haemophilus Influenza B: HIB vaccine appropriate to age
• Chicken Pox: Varicella immunization is required prior to entrance to preschool: 1 dose on or after 1st birthday, or physician’s statement verifying disease history, or laboratory evidence of varicella immunity.
• Pneumococcal Conjugate: Children 24-59 months of age who have not received the primary series of pneumococcal conjugate vaccine, according to the recommended vaccination schedule, shall show proof of receiving one dose of pneumococcal vaccine. Any child who has reached his or her 5th birthday does not need to provide proof of immunization with pneumococcal conjugate vaccine.

MINIMUM IMMUNIZATION REQUIREMENTS FOR KINDERGARTEN

• Diphtheria, Pertussis, Tetanus: 4 or more doses of DTP/DtaP with the last dose qualifying as a booster and received on or after the 4th birthday.
• Polio: 3 or more doses of the same type of polio vaccine with the last dose qualifying as a booster and received on or after the 4th birthday.
• MMR: 2 doses: the first dose received on or after the 1st birthday; second dose no less than 28 days later
• Hepatitis B: No requirements
• Haemophilus Influenza B: HIB immunization not required after 5th birthday
• Chicken Pox: 2 doses: the first dose received on or after the 1st birthday; second dose no less than 28 days later, or physician’s statement verifying disease history, or laboratory evidence of varicella immunity

MINIMUM IMMUNIZATION REQUIREMENTS FOR GRADES 1-5

• Diphtheria, Pertussis, Tetanus: 3 or more doses of DPT/DtaP or Td with the last dose qualifying as a booster and received on or after the 4th birthday
• Polio: 3 or more doses of the same type of polio vaccine with the last dose qualifying as a booster and received on or after the 4th birthday.
• MMR: 2 doses: the first dose received on or after the 1st birthday; second dose no less than 28 days later
• Hepatitis B: No requirement. (Required for entrance into Early Childhood classes and grades 6-12)
• Chicken Pox: 1 dose received on or after the 1st birthday, or physician’s verifying disease history, or laboratory evidence of varicella immunity.

MINIMUM IMMUNIZATION REQUIREMENTS FOR GRADES 6-12

• Diphtheria, Pertussis, Tetanus: 3 or more doses of DPT/DtaP, with the last dose qualifying as a booster and received on or after the 4th birthday. Any student entering 6th through 12th grade is required to show proof of receiving one dose of Tdap (defined as tetanus, diphtheria, acellular pertussis) vaccine regardless of the interval since the last DTaP, DT or Td dose.
• Polio: 3 or more doses of the same type of polio vaccine with the last dose qualifying as a booster and received on or after the 4th birthday
• MMR: 2 doses: the first dose received on or after the 1st birthday; second dose no less than 28 days later
• Hepatitis B: 3 doses received at proper intervals
• Chicken Pox: 2 doses of varicella is required for students entering 6th and 9th grade, or physician’s statement verifying disease history, or laboratory evidence of varicella immunity.
• Meningococcal:
  • Any child entering the sixth grade shall show proof of having received one dose of meningococcal conjugate vaccine on or after the 10th birthday.
  • Any child entering 12th grade shall show proof of having received two doses of meningococcal conjugate vaccine prior to entering the 12th grade.
  • The first dose should be given on or after the 10th birthday, and the second dose shall have been received at least eight weeks after the first dose. If the first dose is administered when the child is 16 years of age or older, only one dose is required.

Health Exam

• Health Exam Form

Dental Exam

• Dental Exam Form - English
• Formulario Comprobante Del Examen Dental Escolar
• Dental Exam Waiver
• Formulario De Renuncia Voluntaria Del Examen Dental Escolar (waiver)

Eye Exam

• Eye Exam Form
• Eye Exam Waiver

Other Forms

• Medication Authorization Form
• Modified PE Form
• Religious Objection to Immunizations
• Asthma Action Plan for Home and School - English version
• Plan de acción contra el asma para el hogar y la escuela

ISBE Immunizations Report 2018-19

When to Keep Your Child Home Due to Illness

The 24-Hour Test

If your child has the following symptoms or diagnoses, please let him/her rest at home for 24 hours:

1. A temperature of 100 degrees or more. A child’s temperature is lowest in the morning and is, therefore, not the best indicator of what the temperature will be during the school day after an illness. A fever can rebound later in the day. Waiting 24 hours provides more time to properly evaluate a child’s fever.
2. Vomiting/diarrhea. A child who has been ill during the night may feel slightly better in the morning and even ask to go to school. However, the child may likely experience symptoms later, may also be tired from a loss of sleep, and may still be contagious to other children.
3. A strep throat or scarlet fever diagnosis. A child cannot return to school until 24 hours after antibiotic treatment has begun and the fever has subsided. A child remains contagious until he/she has been on antibiotics for 24 hours.
4. Infectious conjunctivitis (pink eye) diagnosis. A child may return to school 24 hours after prescription treatment has begun.
5. Ringworm. Ringworm is a contagious fungal infection of the skin. A child may return to school 24 hours after topical or oral anti-fungal treatment has begun.
6. Impetigo. Impetigo is a contagious bacterial skin infection and needs to be diagnosed medically. It requires treatment with either oral or topical antibiotics. A child can return to school 24 hours after prescription treatment has begun.

Other symptoms that should keep a child home from school are the following:

1. A rash that is undiagnosed.
2. Reddened eyes that are not related to allergy symptoms, especially if drainage and itching are present.
3. A persistent cough, chest congestion, or discolored and frequent nasal discharge. Very few younger children can effectively wipe their noses and contain the spread of organisms from persistent coughing and sneezing. Therefore, a child with the above symptoms will quickly spread the illness to other children. When colds and coughs are less severe, children can and should be in school.

The health office tracks infectious disease occurrences in order to provide parents and school staff members with information about their prevalence and any needed precautions. Please report communicable diseases to the school office. The following are some examples of illnesses that should be reported to the health office: chickenpox, strep throat or scarlet fever, conjunctivitis (pink eye), ringworm, fifth disease, impetigo, scabies, and meningitis.

For more information on exclusion criteria from school, please visit the IDPH School Health Program and Immunization web page.

A concussion is a type of injury often caused by bumps or impacts to the head or body that causes a jolt to the brain and changes the way the brain normally works. Please click the links below for important information about concussions, signs and symptoms.

• Concussion Fact Sheet for Parents - English
• Concussion Hoja Informativa Para Los Padres
• Facts About Concussions
• Student Athlete Concussion and Head Injury Procedural Manual
• Concussion Signs and Symptoms Checklist: to use when a student is injured at school (en español)
• Caring for Your Child's Concussion
• How Can I Help My Child Recover After a Concussion?

According to the Center for Disease Control and Prevention (CDC), 

People with COVID-19 have had a wide range of symptoms reported – ranging from mild symptoms to severe illness. Symptoms may appear 2-14 days after exposure to the virus. People with these symptoms may have COVID-19:

• Fever (100.4 or higher)
• New cough
• Shortness of breath or difficulty breathing
• Fatigue from unknown cause 
• Muscle or body aches
• New onset of moderate to severe headache
• Sore throat
• New congestion or runny nose
• New loss of taste or smell
• Nausea or vomiting
• Diarrhea

• Abdominal pain from unknown cause

This list does not include all possible symptoms. CDC will continue to update this list as we learn more about COVID-19.

For more information on the Coronavirus outbreak:

Centers for Disease Control

Illinois Department of Public Health

DuPage County Health Department

The best way to prevent flu is by getting vaccinated each year.  Everyone 6 months of age and older should get a flu vaccine every season. Flu vaccine is provided at many local health departments, private health care providers, and pharmacies across Illinois. 

Most people who get the flu recover completely in 1 to 2 weeks, but some people develop serious and potentially life-threatening medical complications, such as pneumonia. During most flu seasons, which typically run from October through May, between 10 percent and 20 percent of the population is infected with influenza viruses.

If You Get Sick

The flu is a contagious respiratory illness caused by influenza viruses. It can cause mild to severe illness, and at times can lead to death.

Symptoms of flu include:

• fever (usually high)
• headache
• extreme tiredness
• dry cough
• sore throat
• runny or stuffy nose
• muscle aches
• Stomach symptoms, such as nausea, vomiting, and diarrhea, also can occur but are more common in children than adults.

While getting a flu vaccine each year is the best way to protect against flu, influenza antiviral drugs can fight against influenza, offering a second line of defense against the flu.

Antiviral Drugs

• Antiviral drugs are prescription medicines (pills, liquid or an inhaler) that fight against the flu by keeping flu viruses from reproducing in your body.
• Antiviral drugs can make your illness milder and make you feel better faster. They may also prevent serious flu complications.  Antiviral drugs work best if started soon after getting sick (within two days of symptoms).

If You Get Sick

• Stay home from work or school.
• Get lots of rest, drink plenty of liquids, and avoid using alcohol and tobacco.
• There are over-the-counter (OTC) medications to relieve the symptoms of the flu (but never give aspirin to children or teenagers who have flu-like symptoms, particularly fever).
• Consult your doctor early on for the best treatment.

Source: http://www.dph.illinois.gov/

Minor accidents that occur during the school day are treated by the school nurse or health aide.

Please be sure that all emergency information is up to date on the Student Health Information card. The emergency contacts you list should be within close proximity of the attendance school. The people listed as the student’s emergency contacts also should be made aware of their status and be available to act on your behalf in an emergency.

If a student is injured during the school day and the nurse determines medical help is required:

• If the injury appears serious, the health office personnel will call a parent/guardian.
• If a parent/guardian cannot be reached, the health office personnel will call an emergency contact provided on the yellow Student Health Information card.
• If a parent/guardian or a designated emergency contact is not available and the injury requires immediate attention, the child will be taken to the nearest hospital by paramedics. The school nurse, health aide, or a designee of the principal will accompany the child while school staff continues to try to locate the parent.

School Accident Insurance

Learn more about Meningococcal Disease here

Anaphylaxis Response Policy

Type 1 diabetes is a chronic condition in which the body does not produce insulin, a hormone that helps change sugar (glucose) from food into energy. This life-threatening condition causes high levels of sugar in the blood. Without insulin, glucose gets “stuck” in the bloodstream and the body cannot use it for energy. Type 1 diabetes, once known as juvenile diabetes, is the most common type of diabetes diagnosed in children and young adults under 20 years of age, which is why parents and guardians need to know how to support their children.

Click here for more information