All forms can be emailed to:

Health Services


    Physical Health Requirements:

    • School Board Policy 7:100 - Physical Health Requirements
    • Incoming freshmen students, students transferring from another school, transferring from another state or home-schooled students must submit a completed Illinois Certificate of Health physical examination form (dated within 12 months of the first day of school) with required immunizations. Any student not in compliance with the physical and/or immunization requirements will be excluded from school beginning October 15th until the correct information is submitted to the Health Office. This physical will be acceptable for participation in athletics for one year plus 30 days from the date of the physical. Sports Physical forms are not acceptable for this examination.  Certificate of Child Health Exam Form or Certificate of Child Health Exam Form (Spanish)
    • Students grade 10, 11, 12 may not participate in interscholastic sports or team practice until they have filed a current physical with the athletic office.
    • A current vision exam is required for all out-of-state transfer students by October 15th. Vision Form
    • All 9th graders are required to have a dental exam. Proof of the exam must be submitted to the Health Office by May 15th of the student's 9th grade year.

    The following immunizations are required for all high school students in accordance with The Illinois School Code and Illinois Department of Public Health:

    • Diptheria-Tetanus-Pertussis (DTaP): Three or more doses of DTP/DTaP or TD; with the last dose qualifying as a booster if received on or after the 4th birthday.
    • Tetanus-diptheria-pertussis (Tdap): One dose for students entering 6th thru 12th grades
    • Polio (OPV or IPV): Three or more doses, the last dose qualifying as a booster received on or after the 4th birthday.
    • Measles, Mumps, and Rubella (MMR): Two doses: the first dose must be on or after the first birthday and the second dose no less than one month later.  Laboratory evidence of immunity is acceptable.
    • Hepatitis B Series: Series of three injections. 28 days between first dose & second dose; two months between second dose & third dose; four months between first dose & third dose. Or two doses of adult Recombivax-HB vaccine for ages 11-15.
    • Varicella (chicken pox): Two doses required, the first dose must be on or after the first birthday and the second dose no less than one month later. or must show proof of disease with date, verified by physician. Laboratory evidence of immunity is acceptable.
    • Meningococcal (MCV4, Menveo, Menactra): Two doses. First dose prior to or for 9th grade. For 12th grade entry; second dose on or after the 16th birthday. Only one dose is required if the first dose was received at age 16 or older.

    Catch-up Immunization schedule will vary. For specific information on the state requirements, please visit the following website

    FOR STUDENTS WITH MEDICAL CONDITIONS, please work with you medical provider to complete the appropriate forms and return to the school nurse. Providing this information will help with managing the condition while the student is at school and will also serve as the medical order for any medication required during the school day. If you have any questions or concerns, or wish to discuss other health issues with the nurse, please call the health office at 847.973.3452.

    7:285 Anaphylaxis Prevention, Response, and Management Program
    School attendance may increase a student's risk of exposure to allergens that could trigger anaphylaxis. Students at risk for anaphylaxis benefit from a Board of Education policy that coordinates a planned response in the event of an anaphylactic emergency. Anaphylaxis is a severe systemic allergic reaction from exposure to allergens that is rapid in onset and can cause death. Common allergens include animal dander, fish, latex, milk, shellfish, tree nuts, eggs, insect venom, medications, peanuts, soy, and wheat. A severe allergic reaction usually occurs quickly; death has been reported to occur within minutes. An anaphylactic reaction can also occur up to one to two hours after exposure to the allergen.

    While it is not possible for the District to completely eliminate the risks of an anaphylactic emergency when a student is at school, an Anaphylaxis Prevention, Response, and Management Program using a cooperative effort among students' families, staff members, students, health care providers, emergency medical services, and the community helps the District reduce these risks and provide accommodations and proper treatment for anaphylactic reactions.

    The Superintendent or designee shall develop and implement an Anaphylaxis Prevention, Response, and Management Program for the prevention and treatment of anaphylaxis that:

    1. Fully implements the Ill. State Board of Education (ISBE)'s model policy required by the School Code that: (a) relates to the care and response to a person having an anaphylaxis reaction, (b) addresses the use of epinephrine in a school setting, (c) provides a full food allergy and prevention of allergen exposure plan, and (d) aligns with 105 ILCS 5/22-30 and 23 Ill.Admin.Code §1.540.

    2. Ensures staff members receive appropriate training, including: (a) an in-service training program for staff who work with students that is conducted by a person with expertise in anaphylactic reactions and management, and (b) training required by law for those staff members acting as trained personnel, as provided in 105 ILCS 5/22-30 and 23 Ill.Admin.Code §1.540.

    3. Implements and maintains a supply of undesignated epinephrine in the name of the District, in accordance with policy 7:270, Administering Medicines to Students.

    4. Follows and references the applicable best practices specific to the District's needs in the Centers for Disease Control and Prevention's Voluntary Guidelines for Managing Food Allergies in Schools and Early Care and Education Programs and the National Association of School Nurses Allergies and Anaphylaxis Resources/Checklists.

    5. Provides annual notice to the parents/guardians of all students to make them aware of this policy.

    6. Complies with State and federal law and is in alignment with Board policies.

    Pursuant to State law and policy 2:240, Board Policy Development, the Board reviews and makes any necessary updates to this policy at least once every three years. The Superintendent or designee shall assist the Board with its review and any necessary updates.

    Vaccinations offered at Lake County Health Dept. for more information call 847-377-8470 or go to the link:


  • Notice: The Lake County Health Department can provide resources for low cost/Free physical to families in need. Call (847) 377-8000 and ask for the medical clinic

Health Forms