Physical Examination/Immunization Requirements

A ninth grade physical is required for high school entrance (sports physicals are not acceptable). Immunizations must be included for Tetanus/Diphtheria/Pertussis (Tdap), Polio, MMR (Measles/Mumps/Rubella), Hepatitis B series and Varicella.

The Health History Section (yes/no questions) must be completed, signed and dated by the parent/guardian.  If this section is not filled out, your form will be returned. 

The completed form must be turned in to health services for processing no later than July 15.  Physicals for ninth grade entrance include eligibility for athletic participation for one year. 

Incomplete forms will be returned and your child will be excluded from school on the first attendance day until the requirements have been met.  School absences due to non-compliance with the Illinois School Code requirements for immunization and physical examination are considered unexcused.  

certificate of child health examination form

All students entering 12th grade must show proof of receiving two doses of the Meningococcal Conjugate Vaccine (MCV4/Menactra/Menveo). If the first dose of the vaccine was given at age 16 or older, only one dose will be required.  

Students who have not submitted proof before the first day of school will be excluded until documentation is provided. 

Students transferring from an Illinois school as an incoming freshman (ninth grade) must have a current physical examination and up-to-date immunization record submitted prior to the first day of school.   

Students transferring from an Illinois school as an incoming 10th, 11th, or 12th grader can use their ninth grade or more recent physical examination and immunization record from the transferring school.  

Students transferring from out-of-state must have a current physical examination and up-to-date immunization record submitted within 30 days of the registration date.

Students transferring from out-of-country must have a current  physical examination and up-to-date immunization record submitted prior to the first day of school.  

If your student is entering an Illinois school for the first time, they must have an eye exam completed and documented using the State of Illinois Eye Examination Form. This form needs to be returned to health services.  

Students who do not have a completed physical examination and up-to-date immunization record on file with health services within 30 days of their registration date will be excluded from school until these requirements are met.  

All students ages 18-21 must provide proof of receiving one dose of the Meningococcal Conjugate Vaccine (MCV4/Menactra/Menveo) on or after the age of 16. Students who have not submitted proof before the first day of school will be excluded until documentation is provided.

Per the Illinois School Code, students must provide the health office with proof of a physical examination and immunizations. Those who fail to do so before the first day of school will be excluded from classes until the necessary information has been submitted. Any absences that are the result of non-compliance with the examination and immunization requirements spelled out in state law are considered unexcused. 

Please visit https://dph.illinois.gov/topics-services/prevention-wellness/immunization.html to learn more about the Illinois Department of Public Health's immunization requirements for schools.