- Winnetka Public Schools
- Health Information and Forms
Health Information and Forms
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For the 2022-2023 school year, parents are asked to upload required medical forms as indicated below:
State of Illinois Health Examination: (Blank form)
Kindergarten & Grade 6Eye Examination: (Blank form)
KindergartenDental Examination: (Blank form)
Kindergarten, Grade 2 & Grade 6TO SUBMIT COMPLETED MEDICAL FORMS:
FOR NEW STUDENTS:
All Schools (Grades 1-5 and 7-8 for NEW STUDENTS ONLY) use link below to submit completed medical forms:- New Students (only)
FOR RETURNING STUDENTS: Please select your child’s school and grade for the school year 2022-2023 to submit the completed forms.
Hubbard Woods:
Crow Island:
Greeley:
Skokie:
Below are additional forms to be completed with your medical providers as needed. Please return these to your child’s school nurse office.
Medication Permit and Student Action Plans
2022-2023 Medication Permit (PDF) Required for any student needing prescription or over the counter medication during the school day
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
Food Allergy Action Plan (PDF)GENERAL HEALTH INFORMATION
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 2021-2022 (PDF)Health Guidelines (PDF) - student illness information
Medical Conditions (PDF)Head Lice Information
Procedures
Guiding Principles
Parent InformationReligious 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
Nina EilersHubbard Woods
Ashley JaskowskiThe Skokie School
Marianne SiegelCarleton Washburne School
Lisa Browning