Health Services

The Health Services at North Chicago Schools are trained staff that provides quality care to the children in the North Chicago Schools District. The District employs Paramedics (EMT-P), Health assistants, and Registered Nurses under the supervision of the District Nurse.

The Health office personnel assist with first aid, administer medication to students, and notify the District Nurse, parents, and/or school principal in case of health problems or injuries at school. They also assist with vision and hearing screening and other special health needs.

Each North Chicago School has a health office staffed with individuals certified in CPR/AED and First Aid.

Illinois law requires that school districts have on file medical verification of certain immunizations for students entering school. Immunization dates and records must be submitted on the Child Health Form, which must be signed, stamped, and dated by the health care provider.

Physical Examination and Immunization Requirements by Grade – English

Preschool	Complete Preschool Physical Examination. No additional immunization is required if it is up to date.
Kindergarten	Complete Kindergarten Physical Examination and all required immunizations : Four or more doses of Diphtheria, Tetanus, Pertussis (DTP or DTaP) vaccine, with the last dose being a booster and having been received on or after the 4th birthday. Four doses of the Polio vaccine, with the last dose being a booster and having been received on or after the 4th birthday. Two or more doses of the Measles, Mumps, and Rubella vaccine, with the first dose received on or after the first birthday. Two doses of the Varicella vaccine Complete Kindergarten Dental Examination – Must be turned in before May 15 of the current school year. Waiver form for Illinois Dental Examination Form Complete Kindergarten Vision Examination – Must be turned in before the first day of school for the current school year. Waiver Form for Eye Examination Report
1st Grade	No additional physical/immunization requirements if up to date.
2nd Grade	No additional physical/immunization requirements if up to date. Complete 2nd-grade Dental Examination – Must be turned in before May 15 of the current school year. Waiver Form for Illinois Dental Examination Form
3rd Grade	No additional physical/immunization requirements if up to date.
4th Grade	No additional physical/immunization requirements if up to date.
5th Grade	No additional physical/immunization requirements if up to date.
6th Grade	Complete 6th-grade Physical Examination and all required immunizations, including: One dose Tdap vaccine at age 11 years or older, regardless of interval since the last dose of DTP, DTaP, or Td. One dose of Meningococcal Vaccine (meningitis) Two doses of Varicella Vaccine (chicken pox) Three doses of Hepatitis B at the required intervals Complete 6th-grade Dental Examination – Must be turned in before May 15 of the current school year. Waiver Form for Illinois Dental Examination Form
7th Grade	No additional physical/immunization requirements if up to date.
8th Grade	No additional physical/immunization requirements if up to date.
9th Grade	Complete 9th grade Physical Examination and all required immunizations. Complete 9th Grade Dental Examination – Must be turned in before May 15 of the current school year. Waiver Form for Illinois Dental Examination Form One dose of Meningococcal Vaccine
10th Grade	No additional physical/immunization requirements if up to date.
11th Grade	No additional physical/immunization requirements if up to date.
12th Grade	Must show proof of receiving two doses of meningococcal conjugate vaccine (meningitis), with the second dose administered on or after the child’s 16th birthday and at least 8 weeks after the first dose. The second dose is unnecessary if the first dose is administered on or after the child’s 16th birthday.
Illinois Sports Pre-Participation Examination	The Illinois Pre-Participation Examination form is required for students planning to play or try out for sports. This form does not replace the Illinois Physical Examination form; it is required in addition to any Physical Examination form and is valid for 395 days (approximately 13 months) from the examination date listed on the form. Pre-Participation Examination Form

Health Forms:

Medication Authorization Form

Pre-participation Examination (Sports and Activities)

Certificate of Child Health Examination (Physical Exam)

Proof of School Dental Exam

Proof of School Vision Exam

All Forms:

Title:	Form:
Ronald McDonald Care Mobile	Spanish COMBINED
Ronald McDonald Care Mobile	English COMBINED
Tu Pharmacy (Spanish Vaccine Consent)	Spanish Vaccine Consent - Tu Pharmacy
Screening Checklist for Contraindications to Vaccines for Children and Teens	Screening Checklist Kids & Teens
Tu Pharmacy (English)	English Vaccine Consent
2025 - 2026 Vacunas Escolares (Flyer)	2025-2026 School Immunizations Flyer
Medication Authorization Form	Medication Authorization Form
Pre-participation Examination (Sports and Activities)	Pre-participation Examination
Certificate of Child Health Examination (Physical Exam)	Certificate of Child Health Examination
Proof of Dental Exam	Proof of School Dental Exam

FAQ

ILLINOIS SPORTS PRE-PARTICIPATION EXAMINATION Illinois student athletes must complete the Pre-Participation Examination form, in addition to the standard Physical Examination form, and both are valid for 395 days. Sport Pre-Participation Form Here

WHAT IF MY STUDENT NEEDS A PHYSICAL AND/OR IMMUNIZATIONS? D187 offers school physicals and immunizations for students with Medicaid; contact your school for details.

WHAT IF MY CHILD NEEDS TO TAKE MEDICATION AT SCHOOL? Students needing medication at school require a Medical Authorization form signed by a healthcare provider.

WHAT IS THE POLICY REGARDING RELIGIOUS EXEMPTIONS? For immunizations and health records.

North Chicago School District 187

Health Services

Health Forms:

FAQ

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North Chicago School District 187

Health Services Dates & Event Information

Health Services

Health Forms:

FAQ

IMPORTANT NEW DEADLINES

DIABETES SUPPORT & EDUCATION:

VACCINES:

REQUIRED IMMUNIZATIONS:

IMMUNIZATION SUMMARY BY SCHOOL:

PHYSICAL EXAMS:

HEALTH SCREENINGS:

DENTAL EXAMS:

EYE EXAMS:

ALL HEALTH FORMS:

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