• State of Illinois

    Physical Examination and Immunization Requirements for Students Entering:


    According to the Illinois School Code


    1. HEALTH EXAMINATION– Conducted within one year (Must be dated within one year prior to the first day of school)

    Physical Exam – signed and dated by doctor

    Immunizations – signed and dated by doctor

    Medical History – completed and signed by parent

    Physical Education and Interscholastic Sports Participation - checked by doctor

    Mandatory Diabetes Risk Assessment



    DTP/DtaP – 4 or more doses-­last booster after 4th birthday

    Tdap – 1 dose

    Hepatitis B – series of 3 doses

    Polio – 3 or more doses – last booster after 4th birthday

    MMR – 2 doses­- first dose after 12 months of age, 2nd dose no less than one month later

    Varicella Vaccine/Chickenpox –2 doses – first dose on or after the first birthday and the second dose no less than four weeks ( 28 days) after the first dose or (proof of prior varicella disease).

    MCV4 Vaccine (Meningococcal Conjugate Vaccine) – one dose


    3. DENTAL EXAMINATION due May 15 of current school year