Student Health Hub

HEALTH REQUIREMENTS

REQUISITOS DE SALUD

The Marquardt District 15 Department of Health Services is dedicated to the promotion and maintenance of the health and wellness of the school community. The role of the health services staff is to promote the physical, mental, emotional and social well being of students with the goal of helping them achieve optimal learning.

Health Requirements by Grade

Pre-K

Complete Physical Exam and all required immunizations (see below)

Exam form: State of Illinois Certificate of Child Health Exam

State of Illinois Certificate of Child Health Exam_ Spanish

D.P.T. series: Three doses by age 1, plus an additional dose by age 2
Polio series: Two doses by age 1, and an additional dose by age 2
MMR (measles, mumps, rubella) vaccine: One dose on or after age 1
Varicella (chickenpox) vaccine: One dose on or after age 1, or proof of varicella disease or immunity
Hepatitis B (HBV) series: Three doses required. Third dose must have been administered on or after 6 months of age
Haemophilus Influenza Type b series (Hib) vaccine: One dose given after age 15 months
Pneumococcal conjugate series vaccine: Primary series complete, or 1 dose on/after 24 months of age

Kindergarten

Physical and eye exam due prior to October 15th of the current school year

Dental exam due prior to May 15th of the current school year

Complete Physical Exam and all required immunizations (see below)

Exam form: State of Illinois Certificate of Child Health Exam

State of Illinois Certificate of Child Health Exam_ Spanish

D.P.T. series: Four or more doses, with the last dose qualifying as a booster and received on or after the fourth birthday
Polio series: Four or more doses of the same type of Polio vaccine, with the last dose qualifying as a booster and received on or after the fourth birthday
MMR (measles, mumps, rubella) vaccine: Two doses, with first dose on or after the first birthday and second dose no less than four weeks later
Varicella (chickenpox) vaccine: Two doses, with the first dose on or after the first birthday and second dose no less than four weeks later, or proof of disease or immunity
Hepatitis B (HBV) series: Three doses recommended. The third dose must have been administered on or after 6 months of age

Complete Kindergarten Dental Exam: Dental Examination Form

Complete Kindergarten Vision Exam: Vision Exam Form

6th Grade

Physical due prior to 10/15/2023

Dental exam due prior to 5/15/2024

Optional sports physical due prior to tryouts or any participation in interscholastic sports

Complete Physical Exam and all required immunizations (see below)

Exam form: State of Illinois Certificate of Child Health Exam

State of Illinois Certificate of Child Health Exam_ Spanish

Hepatitis B: Three doses required. Third dose must have been administered on or after 6 months of age
D.P.T. series: Three or more three doses plus a booster after age 4.
Tdap booster: Upon entering sixth grade
Polio series: Four doses, with the last dose on or after the fourth birthday and at least six months after the previous dose
MMR (measles, mumps, rubella) vaccine: Two doses, with the first dose on or after the first birthday and the second dose no less than four weeks later
Varicella (chickenpox) vaccine: Two doses, with the first dose on or after the first birthday and the second dose no less than four weeks later, or proof of disease or immunity
Meningococcal Vaccine: One dose on or after the 11th birthday

Complete 6th grade dental exam: Dental Examination Form

Optional: A sports physical must be turned in prior to participation in any interscholastic sporting event including tryouts

Important Information for Families

Attendance Lines

Parent and Guardians:

To report a student absence, press 7, to reach a nurse press 9. If we do not receive your student's absence, a school staff member will contact you.

If you need to change the way your student is going home, you must call the office by 2:00pm to assure communication. Students cannot be pulled out of line or off the bus at dismissal due to safety reasons.

Please note: Students who leave school due to illness will not be allowed to participate in after school activities.

To report an absence, please call the attendance line of the student's school (below) and provide:

The Student's Full Name
School Grade
The Student's Teacher (if Elementary)
The reason for missing school
- Indicate the Student's symptoms if any
Parent/Guardian phone number to contact you

School	Attendance Line
Black Hawk School	(630) 893-5750
G. Stanley Hall School	(630) 469-7720
Charles G. Reskin	(630) 469-0612
Winnebago School	(630) 351-3416
Marquardt Middle School	(630) 858-3850

FAQ: When should I keep my child home from school?

WHEN TO KEEP YOUR CHILD HOME FROM SCHOOL:
- When student has had a fever of 100° or more within the last 24 hours.
- When student has thrown up or had diarrhea within the last 24 hours.
- When student has a rash that has not been seen by a doctor.
- When student has pinkeye that has not been treated for a minimum of 24 hours.
- As instructed by the local health department related to communicable (including COVID-19) and chronic disease guidelines. Parent/Guardian will need to bring in note stating student is able to return to school.

Health Forms

Health Forms
Physicals and Immunizations Physical due prior to October 15 of current school year.	School Physical: Certificate of Child Health Exam (English) Spanish Illinois Certificate of Religious Exemption to Required Immunizations and/or Examinations Form
Sports Physical (6th-8th Grade) Optional sports physical due prior to tryouts or any participation in interscholastic sports	IHSA Pre-participation Examination (Sports Physical) (English) Request for Accommodation Form
Dental Exam Forms Dental exam due prior to May 15 of current school year for Kindergarten, 2nd and 6th and 9th grade.	Proof of School Dental Examination form – English Proof of School Dental Examination form – Spanish/Español Dental Examination Waiver form – English Dental Examination Waiver form – Spanish/Español
Eye Exam Forms Each kindergarten student must present proof of the examination prior to October 15 of the school year.	Eye Exam Form Eye Exam Waiver
Medication Forms
Medication Authorization Form	Medication Authorization Form Spanish
Medicaid Form	Parental Notice for Release of Information/Consent to Bill Medicaid
Health Care Action Plans
Allergy Forms	Annual Allergy History Form Spanish Allergy Emergency Action Plan
Asthma Forms	Asthma Emergency Action Plan
Diabetes Forms	Diabetes Management Plan ADD Diabetes Information
Seizure Forms	Seizure Emergency Action Plan Seizure Emergency Action Plan (Spanish)
Seizure Questionnaire	Questionnaire for Parent (English) Questionnaire for Parent (Spanish)
MSD15 Medication Policy	Undesignated Emergency Medication
Allergies	MSD15 Resource Guide for the Management of Life-Threatening Food Allergies
Concussion Information	Concussion Information Sheet D15 Concussion Card
MSD15 Student Accident Insurance	Click here for parent letter in English Click here for Parent letter in Spanish Please call the District Office if you have any questions.