CCSD 89 Handbook: Health Records

  • Health Certificate

    A health certificate from your physician is required:

    1. After certain communicable diseases to show freedom from contagion. If you inform the school that your child has been diagnosed with a communicable disease, the district will share this information with the local health department.

    2. After a rash - to show freedom from contagion.

    3. After surgery - to notify the school of any restriction on physical activity.

    4. When an excuse from physical education classes is necessary for longer than three days.

    5. When requested by the nurse.

    Health Forms and Requirements

    All health forms and requirements are available on the district website at:

    Health Records

    Each child’s health examination and immunization record is kept up to date. When a child transfers, the health record is sent to the new school upon request of that school.

    Parents should inform the school principal and the school nurse of any health problem which their child has, especially if the medical condition could result in an emergency situation at school.

    Parents/guardians are requested to provide updated action plans on an annual basis (i.e. asthma, seizure, food allergy).

    Head Lice

    The school will observe the following procedures recommendations of the Illinois Department of Public Health regarding head lice:

    - Parents are required to notify the school nurse if they suspect their child has head lice.

    - Infested students will be sent home following notification of the parent or guardian.

    - The school will provide written instructions to parent or guardian regarding appropriate treatment for the infestation.

    - A student excluded because of head lice will be permitted to return to school only when the parent or guardian brings the student to school to be checked by the school nurse or building principal and the child is determined to be free of the head lice and eggs (nits). Infested children are prohibited from riding the bus to school to be checked for head lice.

    Illness at School

    If a child becomes ill at school, the parents or other responsible party will be notified as soon as possible. During registration, parents are asked to provide the name and phone number of an emergency contact who can come for the child if the parents are not available. These emergency forms should be kept up to date and the school notified immediately if there is any change in the emergency information.

    Medication Policy and Procedures

    Only those medications essential to maintain a student’s health are to be given during the school day. All medications must be prescribed by a medical doctor, including over-the-counter medications. A School Medication Authorization Form must be completed and signed by the physician and the parent or legal guardian before any medication is given at school. Parents will receive the medication policy within 15 days of enrollment.

    Parents or guardians are the only individuals permitted to carry a student’s medication to and from school, with the exception of those students who have provided the school with a copy of signed consent for their child’s unsupervised self-administration of asthma medication and/or an epinephrine auto-injector. Medication must be in the original container or current prescription bottle. All medication, with the exception of approved asthma medications and/or an epinephrine auto-injector, will be kept in the nurse’s office in a locked cabinet, and dispensed according to a physician’s orders.

    Students shall not allow other students to carry, possess or use their prescription or non-prescription medication, and violation of this rule may result in discipline. The school district shall not be held liable for misuse of medication by the student who is permitted unsupervised self-administration of asthma medication and/or an epinephrine auto-injector, or for the misuse of the medication by others.

    CCSD 89 maintains a supply of undesignated epinephrine auto-injectors (EpiPen) for students who have forgotten their EpiPen at home or who do not have a known food allergy. A registered nurse may adminster an EpiPen to any student who he or she, in good faith, professionally believes is having an anaphylactic reaction and who does not have an Emergency Action Plan in place. The protections

    from liability and hold harmless provisions apply. Parents/guardians who do not want their child to be administered epinephrine under any circumstances may “opt out” by submitting a written request to the school.

    No one, including without limitation parents/guardians of students, should rely on the district for the availability of an EpiPen. The supply of emergency epinephrine is not intended to replace epinephrine prescribed to students with known allergies. Physicians should still prescribe epinephrine as appropriate and encourage parents whose children are suffering from a severe allergy to put in place an Emergency Action Plan with their child’s school.

    For self-administration of asthma medications only, parents or guardians of the students may provide the prescription label, which must contain the name of the medication, the prescribed dosage, and the time or circumstances under which the medication is to be administered in lieu of the written physician authorization. The protections from liability and hold harmless provisions apply. The School Medication/Self-Administration Authorization form (Board Policy 500:270-F2) must be renewed each school year.

    Students participating in before- and after-school functions that are sponsored by non-district entities (YMCA, Scouts, etc.) do not have access to student medication provided to the school. If students require medication at these functions, parents must work directly with these organizations for administration.

    Physical Examinations and Immunizations

    A physical examination is required by law for all pupils entering preschool, kindergarten (or first grade, if a child did not attend kindergarten), sixth grade, and students transferring into Illinois from out of state or out of country to CCSD 89 in other grades. The examination must be completed within one year prior to entry into the above grade and must include:

    Physical examination, which shall include an evaluation of: height, weight, blood pressure, BMI, skin, eyes, ears, nose, throat, mouth/dental, cardiovascular, respiratory, gastrointestinal, genito-urinary, neurological, musculoskeletal, spinal examination, nutritional status, lead screening and other evaluations deemed necessary by the examiner. The strongly recommended evaluations include hemoglobin or hematocrit, urinalysis, and sickle cell. The examiner should list any medications the child takes routinely, diet restrictions/needs, special equipment needed, or other needs, and known allergies.

    Medical history, which shall be completed and signed by the parent or legal guardian of the student. The medical history shall be inclusive as indicated on the Certificate of Child Health Examination form.

    Students must also provide evidence that they have received immunization against preventable communicable diseases. All students must be immunized against diphtheria, pertussis, tetanus, polio, measles, mumps and rubella. It is recommended that students receive a tuberculosis skin test.

    All students must have received one dose of varicella vaccine on or after their first birthday. Any child entering kindergarten through eighth grade shall show proof of having received two doses of the varicella vaccine. Students may also provide documentation of physician-diagnosed varicella disease, have a statement from a health care provider verifying that a parent’s description of varicella disease history is indicative of past infection, or have laboratory evidence of immunity to varicella.

    Preschool, sixth, seventh, and eighth grade students are required to have received three doses of Hepatitis B vaccine administered at the appropriate intervals. Preschool students must have received Haemophilus Influenzae Type B (Hib) vaccine after age 15 months and one dose of Pneumococcal Congugate vaccine.

    All, sixth, seventh, and eighth grade, students are required to have a Tdap booster (defined as tetanus, diphtheira, acellular pertussis) and have a Meningoccal vaccine on or after their 11th birthday.

    A diabetes screening shall be included as a required part of each health examination and results of the diabetes risk assessment shall be documented on the Certificate of Child Health Examination form.

    Age-appropriate developmental screening and an age-appropriate social and emotional screening are required parts of each health examination. A student will not be excluded from school due to his or her parent/guardian’s failure to obtain a developmental screening or a social and emotional screening.

    Lead screening is a required part of the health examination for children age six years or younger prior to admission to preschool and kindergarten.

    All Illinois children in kindergarten, second, and sixth grades will be required to have an oral health (dental) examination performed by a licensed dentist. Each child shall present proof of examination by a dentist prior to May 15 of the school year. Students’ report cards may be held until proof of a completed dental examination or proof that a dental examination will take place within 60 days after May 15.

    A vision examination is required for all children enrolling in kindergarten and any student enrolling for the first time in school in Illinois. The child must be examined within the previous year by a physician licensed to practice medicine in all its branches or a licensed optometrist before October 15 of the school year. Vision screening is not a substitute for a complete eye and vision evaluation by an eye doctor. Your child is not required to undergo this screening if an optometrist or opthalmologist has completed and signed a report form indicating that an examination has been administered within the previous 12 months. Students’ report cards may be held until proof of a completed eye examination or proof that an eye examination will take place within 60 days after October 15.

    The Illinois School Code requires that students who do not comply with either the physical examination or immunization requirements be excluded until the requirements have been met or medical or religious exemptions are properly in order. CCSD 89 policy allows 45 days from the start of the school year, October 15, or upon transferring from another school, for records to be in compliance with the law. If records are not complete at that time, the child could be subject to exclusion from school until the requirements are on file at the school.

    State law allows exemptions from immunizations and physical, dental, or vision examinations based on religious or medical grounds. A physician may submit a statement of immunity or a medical objection, indicating that an immunization is medically contraindicated. A parent or legal guardian who object, for religious reasons, to immunizations or health examinations for their child for school entry must now have a Certificate of Religious Exemptions that is signed by a health-care provider. The local school authority will determine if the objection is valid. Immunization clinics are held weekly by the DuPage County Health Department. For information regarding this service, call (630) 682-7400, or go to

    By law, CCSD 89 must submit required immunization data to the Illinois State Board of Education. Please contact your child’s school if you have any questions regarding district immunization records/data or other health requirements.

    Sports Physicals for Interscholastic Teams

    Any student wishing to try out and participate in interscholastic sports (not intramurals) in middle school is required to have a certificate of physical fitness issued by a licensed physician, physician’s assistant, or nurse practitioner not more than 395 days preceding such tryout, practice or contest in any athletic activity.

    You may submit documentation on the Physical Exam Form or a Sports Physical Form, which are both located on the district website at

    Student Accident Insurance

    CCSD 89 has purchased a student accident insurance program that covers its students for injuries incurred while participating in school sponsored and supervised activities, including all athletics. This plan is secondary to any primary medical insurance the student may currently have.


    Transfer Students

    Children who transfer to CCSD 89 from another school system must show proof of a current, complete physical examination and proof of immunization within 30 calendar days after entering a CCSD 89 school.