Health Exams & Immunizations
District 401 students must present proof they have undergone all health examinations and immunizations as required by state law and District policy.
Failure to comply by the first day of school will result in the student's exclusion from school until the required health forms are presented to the District. (See Section 7:100 in the Board of Education's District Policy Manual.)
New students who enroll after the first day of school shall have 30 days following enrollment to comply with all applicable health examination and immunization regulations.
Please note that any homeless child shall be immediately admitted, even if the child or child’s parent/guardian is unable to produce immunization and health records normally required.
To Locate the Requirements for Your Child
Start with the section titled Summary of Required Exams & Immunizations. This provides a detailed list of requirements for District 401 students.
Then jump to the Health Requirements Directory, where you will see expandable "accordion" rows containing information and links. Find and click the rows that apply to your child.
Summary of Required Exams & Immunizations
This letter from District 401's Superintendent of Schools provides a detailed list of all immunizations, health exams and health forms required of District 401 students from preschool through 12th grade:
For your convenience, this letter is also available to download in single languages:
Health Requirements Directory
To find the exams, immunizations and health forms that your child will need, click any of the expandable rows located below that apply to your child.
All students — new or returning — must fill out and submit this annually updated document:
All immunizations must be current. Any student who is new to District 401 must submit the following up-to-date documents (except preschoolers, who do not need to submit an eye exam report):
- Illinois Certificate of Child Health Examination Form
- Illinois Eye Examination Report (not required of preschoolers)
- Student Medical Information Form
In addition, if a new student is entering kindergarten, 2nd grade or 6th grade, a dental examination is required:
The State of Illinois requires all new students to present the Illinois Department of Public Health Certificate of Child Health Examination at the time of their entrance. Even though we are in the midst of the COVID-19 pandemic, this has not been waived, and it is expected that all students have the appropriate forms on file with the school health office. Please note that your child may not be able to enter the building for in-person learning if this information is not up-to-date and on file with the health office at your school. Please contact the building nurse with any questions.
To review, all new students must satisfy the following requirements unless otherwise noted:
- A physical examination and immunization history dated within one year of school entrance
- A LEAD RISK assessment for children ages 6 and under
- The "Health History" section of the Child Health Examination Form completed and signed by the parent/guardian
- The "Physical Examination Requirements" section of the Child Health Examination Form completed as required, including diabetes and TB assessments and signature of health care provider
- The doctor’s stamp/signature, including phone and fax number
- An eye exam by an eye doctor (for kindergarten and all new students except preschool)
- District 401 Student Medical Form (annual form) completed and signed
All immunizations must be current, and a physical examination and Student Medical Information Form are required:
Even though we are in the midst of the COVID-19 pandemic, it is expected that all students have the appropriate forms on file with the school health office. Please note that your child may not be able to enter the building for in-person learning if this information is not up-to-date and on file with the health office at your school. Please contact the building nurse with any questions.
To review, all preschool students must satisfy the following requirements unless otherwise noted:
- A physical examination and immunization history dated within one year of school entrance
- A LEAD RISK assessment for children ages 6 and under
- The "Health History" section of the Child Health Examination Form completed and signed by the parent/guardian
- The "Physical Examination Requirements" section of the Child Health Examination Form completed as required, including diabetes and TB assessments and signature of health care provider
- The doctor’s stamp/signature, including phone and fax number
- HIB vaccine
- Pneumococcal vaccine
- District 401 Student Medical Form (annual form) completed and signed
All immunizations must be current, and a physical exam and Student Medical Information Form are required:
In addition, a dental exam and an eye exam are required:
Even though we are in the midst of the COVID-19 pandemic, it is expected that all students have the appropriate forms on file with the school health office. Please note that your child may not be able to enter the building for in-person learning if this information is not up-to-date and on file with the health office at your school. Please contact the building nurse with any questions.
To review, all kindergarten students must satisfy the following requirements unless otherwise noted:
- A physical examination and immunization history dated within one year of school entrance
- A LEAD RISK assessment for children ages 6 and under
- The "Health History" section of the Child Health Examination Form completed and signed by the parent/guardian
- The "Physical Examination Requirements" section of the Child Health Examination Form completed as required, including diabetes and TB assessments and signature of health care provider
- The doctor’s stamp/signature, including phone and fax number
- A dental exam within one year of school entrance
- An eye exam by an eye doctor within one year of entrance
- Second varicella vaccine
- Second MMR vaccine
- District 401 Student Medical Form (annual form) completed and signed
A dental exam and Student Medical Information Form are required:
Even though we are in the midst of the COVID-19 pandemic, it is expected that all students have the appropriate forms on file with the school health office. Please note that your child may not be able to enter the building for in-person learning if this information is not up-to-date and on file with the health office at your school. Please contact the building nurse with any questions.
To review, all 2nd-grade students must satisfy the following requirements unless otherwise noted:
- A dental exam within one year of school entrance
- District 401 Student Medical Form (annual form) completed and signed
All immunizations must be current, and a physical exam and Student Medical Information Form are required:
In addition, a dental exam is required:
Even though we are in the midst of the COVID-19 pandemic, it is expected that all students have the appropriate forms on file with the school health office. Please note that your child may not be able to enter the building for in-person learning if this information is not up-to-date and on file with the health office at your school. Please contact the building nurse with any questions.
To review, all 6th-grade students must satisfy the following requirements unless otherwise noted:
- A physical examination and immunization history dated within one year of school entrance
- The "Health History" section of the Child Health Examination Form completed and signed by the parent/guardian
- The "Physical Examination Requirements" section of the Child Health Examination Form completed as required, including diabetes and TB assessments and signature of health care provider
- The doctor’s stamp/signature, including phone and fax number
- Meningococcal vaccine
- Tdap vaccine
- Second varicella vaccine
- Second MMR vaccine
- A dental exam
- District 401 Student Medical Form (annual form) completed and signed
All immunizations must be current, and a physical exam and Student Medical information Form are required:
In addition, a dental exam is required:
Even though we are in the midst of the COVID-19 pandemic, it is expected that all students have the appropriate forms on file with the school health office. Please note that your child may not be able to enter the building for in-person learning if this information is not up-to-date and on file with the health office at your school. Please contact the building nurse with any questions.
To review, all 9th-grade students must satisfy the following requirements unless otherwise noted:
- New physical exam within one year of start of school entrance
- 2 varicella vaccines
- 2 MMR vaccines
- Tdap vaccine
- Meningococcal vaccine
- Dental exam
- District 401 Student Medical Form (annual form) completed and signed
All immunizations must be current, and Student Medical information Form is required:
Even though we are in the midst of the COVID-19 pandemic, it is expected that all students have the appropriate forms on file with the school health office. Please note that your child may not be able to enter the building for in-person learning if this information is not up-to-date and on file with the health office at your school. Please contact the building nurse with any questions.
To review, all 10th- and 11th-grade students must satisfy the following requirements unless otherwise noted:
- 2 varicella vaccines
- 2 MMR vaccines
- Tdap vaccine
- Meningococcal vaccine
- District 401 Student Medical Form (annual form) completed and signed
All immunizations must be current, and a Student Medical information Form is required:
Even though we are in the midst of the COVID-19 pandemic, it is expected that all students have the appropriate forms on file with the school health office. Please note that your child may not be able to enter the building for in-person learning if this information is not up to date and on file with the health office at your school. Please contact the building nurse with any questions.
To review, all 12th-grade students must satisfy the following requirements unless otherwise noted:
- 2 varicella vaccines
- 2 MMR vaccines
- Tdap vaccine
- 2 doses of the meningococcal vaccine; if the student's first dose is received on or after their 16th birthday, only one dose is required
- District 401 Student Medical Form (annual form) completed and signed
If a Student is Homeless
As noted above, any homeless child shall be immediately admitted to District 401, even if the child or child’s parent/guardian is unable to produce immunization and health records normally required for enrollment.
See Board Policy 6:140, "Education of Homeless Children," which governs the enrollment of homeless children.
District 401's Policy on Examinations and Immunizations
For the District's policy concerning health examinations and immunizations, including information about exemptions on religious or medical grounds, please see Board Policy 7:100 of the Board of Education's District Policy Manual.