- Winnetka Public Schools
- Health Information and Forms
Health Information and Forms
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Please download, print, review, and work with your medical providers to fill out the following forms as necessary. Return the completed forms to your school nurse by the first day of school, or within 30 days if you are registering mid-year.
District 36 Immunization Information
The Winnetka Public Schools District 36 provides the following immunization information, in compliance with Illinois School Code (105 ILCS 5/27-8.1). Immunization Summary for 2019-2020 (PDF)
Medical Forms
Health Exam Form (PDF) - required for Kindergarten students, 6th grade students, and all new students to the district
Dental Exam Form (PDF) - required for Kindergarten, 2nd and 6th grade students, and all new students to the district
Eye Exam Form (PDF) - required for Kindergarten students and all new students entering a State of Illinois school for the first timeMedication Permit
Required for any student needing prescription or over the counter medication during the school day
Medication Permit for 2020-2021 Registrants (PDF)
Food Allergy Action Plan (PDF)
Medication Permit for 2021-2022 Registrants (PDF)Health Information
Immunization guidelines, grade level health form and immunization needs, area resources, medical and religious exemption information
Health Information Form for 2020-2021 Registrants (PDF)
Health Information Form for 2021-2022 Registrants (PDF)
Health Guidelines (PDF) - student illness information
Asthma Parent Letter (PDF)
Asthma Action Plan (PDF)
Allergy Parent Letter (PDF)
Allergy History Form (PDF)
Food Allergy Management Program (PDF) - District food allergy guide
Medical Conditions (PDF)Head Lice Information
Religious Exemption Requirement
Religious Exemption - requires the filing of a signed statement explaining the objections to physical exam, health screenings, and/or immunizations on religious grounds. General philosophical or moral reluctance will not provide a sufficient basis for exemption. In case of disease outbreak, the student must be excluded from school. One's "physician" must also sign this document.
Nurses
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Crow Island School
Chrissy HahnGreeley School
Jill FlemingHubbard Woods
Ashley JaskowskiThe Skokie School
Marianne SiegelCarleton Washburne School
Nina Eilers