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Health Information and Forms

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 2017-2018 (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 time

Medication Permit

required for any student needing prescription or over the counter medication during the school day
Medication Permit for 2017-2018 Registrants (PDF)
Food Allergy Action Plan (PDF)

Health Information

Health Information Form- immunization guidelines, grade level health form and immunization needs, area resources, medical and religious exemption information
Health Information Form for 2017-2018 Registrants (PDF)
Health Guidelines (PDF) - student illness information
Asthma Parent Letter (PDF)
Asthma Action Plan (PDF)
Allergy Parent Letter (PDF)
Food Allergy Management Program (PDF) - District food allergy guide

Head Lice Information

Procedures
Guiding Principles
Parent 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.