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Medical Forms

child examphoto


Illinois law requires physical exams for all students entering school. New enrollees from outside the State of Illinois have thirty days to present an exam that is less than a year old on a form comparable to the Illinois Certificate of Child Health Examination. A complete record of all immunizations is required, as well. Students who have transferred from within Illinois must present up to date health records upon registration in order to begin attending schools in Fremont School District 79.

The nurse at each building reviews these records and notifies parents of any health records which are not in compliance with the Illinois School Code. Since Illinois immunization requirements may differ from other states or countries, nurses work closely with families to help them complete the requirements so that their child may attend school.

Please communicate any specific health issues directly with the school nurse, so that the district can work together to support the student. More information is available on the Medications and Management Plans tab.

Please contact the school nurse for assistance in locating a health provider. The nurse can also provide you with the necessary forms.

Medical Forms

Dental Exam Form (English/Spanish)
Dental Exam Waiver (English/Spanish)
Emergency Card/Student Health Information Form
Eye Exam Form
Eye Exam Waiver
Health Exam Form in English and Spanish
Sports Participation Form