SPEED SEJA, District 802, Special Education Joint ...
Date:_____________
2nd request____________
3rd request____________
Dear Parent/Guardian:
Illinois State Law requires all school children to have up-to-date health and immunization records. According to our health records, your child needs the services that are checked below:
____Physical Examination: Illinois Law requires – Kindergarten, 6th grade and 9th grade.
Illinois Certification of Child Health Examination form is required
The Health History section must be completed and signed by the Parent/guardian or the form cannot be accepted and will be returned.
____DPT/Dtap/DT/td: Illinois law requires five does-Four doses before age 4 and one dose after age 4. (DT Booster
every 10 years thereafter).
____IPV: Illinois Law requires four doses - Three doses before age 4 and one dose after age 4.
____MMR (Measles, Mumps, and Rubella): Illinois Law requires two doses before age 5.
____HEP B or HB (Hepatitis B:) Illinois Law requires three doses. 1st dose______2nd dose______3rd dose_____
____Varicella: Illinois Law requires one dose on or after the first birthday or statement from physician/health care
provider verifying disease history or laboratory evidence of varicella immunity.
____Dental Examination: Illinois State Law, effective July 1, 2005, requires Kindergarten, 2nd and 6th grade on an
Illinois Department of Public Health, Proof of Dental Examination Form by a Dentist prior to May 15th
of the school year.
____DTap: Illinois State Law requires one dose for students entering 6th and 9th grade.
____Vision Examination: Illinois State Law a Vision exam for Kindergarten.
The completed Certificate of Child Health Examination with documented immunization records are due:
_________________. If you have any questions please call___________________ or fax__________________.
Thank you
School Nurses
[pic]
-----------------------
Telephone: 708-481-6100
TDD: 708-481-6100
Fax: 708-481-5713
SPEED S.E.J.A. #802
1125 Division Street
Chicago Heights, Illinois 60411-2491
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related searches
- special education questions and answers
- special education report card template
- louisiana ser special education system
- special education teacher loan forgiveness
- special education philosophy statement
- philosophy of special education articles
- philosophy of special education essay
- special education what is it
- what is special education definition
- what is special education pdf
- philosophy of special education paper
- special education in louisiana