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Community Consolidated School District 93

Maximize the academic, social, and emotional potential of each student.

Health Registration and Forms

Health Services Overview

Health Services.pdf 61.25 KB (Last Modified on April 15, 2021)

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*State of Illinois Certificate of Child Health Examination Form (Dr. & Parent Signature Required)

This is the primary form that all new students, as well as incoming Kindergarten and 6th grade students, require.

child-health-exam-form-revised-01-31-2024.pdf 1.95 MB (Last Modified on March 6, 2024)

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Medication Administration Permission Form

Updated Medication Administration Permission Form.pdf 190.84 KB (Last Modified on August 26, 2020)

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Dental Exam Form (Physician Signature Required)

Dental-Exam-form.pdf 55.592 KB (Last Modified on May 4, 2017)

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Health Requirements for School Attendance

Health Requirements for School Attendance.pdf 59.64 KB (Last Modified on July 1, 2021)

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Head Injury Information

IESA Concussion Form.pdf 27.81 KB (Last Modified on April 4, 2019)

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Sports Physical Form

IESA-PhysicalCard.pdf 588.85 KB (Last Modified on May 27, 2021)

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Vision Exam Form (Physician Signature Required)

Eye-Exam-Report.pdf 64.27 KB (Last Modified on February 22, 2021)

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