The student's health is of utmost importance to Libertyville District 70. In order to support students, each school has a registered nurse on staff, full time. The nurses are not only help students with bumps, bruises, health emergencies but they also ensure student health records are up to date.
The school code of Illinois, Section 665, requires that each student entering school for the first time (kindergarten) and students entering sixth grade along with transfer students must submit evidence of the various examinations.
Per Illinois School Code, there are several requirements that must be met:
When does it need to be done?
|Physical Exam||New students entering District 70 for the first time, Kindergarten, 6th grade students and students electing to do sports.|
New students entering District 70 for the first time, Kindergarten, and 6th grade students.
|Dental Exam||New students entering District 70 for the first time, Kindergarten, 2nd and 6th grade students|
|Eye Exam||New students entering District 70 for the first time|
The physical examination must be dated within one (1) year prior to the first day of school and must be completed on the State of Illinois Department of Human Services Certificate of Child Health Examination. It is due t the time of registration or prior to starting school. The physical examination form requires 3 signatures to be considered "in compliance".
1. Immunization section signed by health are provider
2. Health history signed by parent or legal guardian
3. Physical examination signed by MD, APN or PA
It is recommended that parents make arrangements with their physicians as soon as possible to ensure their child/children will have the required exams and immunizations before school starts.
Students enrolling at the beginning of the school year who do not meet these requirements will be excluded from school attendance per district policy. Medical and Religious objections to any physical examination or immunization must be submitted in writing and must contain the required information.
Kathy Panov, RN, BSN,
District Nurse/Adler Park Nurse
(847) 362-7275, ext. 1105
Rebecca Powell, RN, ADN
(847) 362-3120, ext. 2105
Nora Beckman, RN, BSN
Copeland Manor Nurse
(847) 362-0240, ext. 3105
Nancy Johnson, RN,
Highland Middle Nurse
(847) 362-9020, ext. 4105
Valorie Crusey, RN, BSN
(847) 362-3134, etc. 5105
Physical Exam Form (same for Sports Physical Exam)
Physical Exam Form Spanish
Medication Authorization Form
Self Administration of Medication
Allergy Action Plan - Treatment Plan
Food Allergy Questionnaire
Eye Exam Form
Eye Exam Waiver
Dental Form to show proof of exam
Dental Form to show proof of exam Spanish
Dental Waiver Form
Dental Waiver Form Spanish
Religious Exemption Required Immunizations/Exams