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Home Health Information/Requirements Preschool Health Requirements

Preschool Health Requirements

Spanish Version

District 202 Health Services welcomes you and your child as he/she begins preschool!

The Illinois School Code Sec 27-8 requires all incoming preschool students to have a health/physical examination with the required immunizations completed prior to the first day of school. Incoming preschool students must use the State of Illinois Certificate of Child Health Examination form.

  • Immunizations must include:

    • Diphtheria/Pertussis/Tetanus (DPT/DTAP) – Four (4) doses, three doses by 1 year of age & one additional booster by 2nd birthday

    • Polio (OPV/IPV) – Three (3) doses. Two doses by 1 year of age. One more dose by 2nd birthday

    • Measles/Mumps/Rubella (MMR) – One (1) dose on or after the 1st birthday

    • Varicella – One (1) dose on or after 1st birthday or a statement from physician verifying disease.

    • Haemophilus influenzae type b (HIB)--per the ACIP HIB vaccination schedule

    • Pneumococcal Conjugate Vaccine (PCV) – per the ACIP PCV vaccination schedule

    • Hepatitis B Three (3) doses. Third dose must have been administered on or after 6 months of age


Dates of ALL immunizations must be verified by a physician or healthcare provider. The Student Information (top of page 1) and Health History sections (top of page 2) must be fully completed and signed by the parent/legal guardian. The Physical Examination Requirements section (bottom of page 2) must be fully completed and signed by the physician, APN or PA, including the lead risk questionnaire and diabetes screening for all students in preschool.

Transfer students must present a health exam that was completed within one year prior to entry into an Illinois school. The transferring health/physical exam must also include the dates of all previous immunizations since birth. (Please take note of the above required Illinois School Code schedule of immunizations required).

If you have any questions, or your child has any specific health care needs such as diabetes, allergies, asthma, seizure disorder or medication that needs to be taken at school, please contact the building nurse for Bonnie McBeth Early Learning Center at 815-577-4155

Please complete and return all original forms to the school nurse. All paperwork is due to the health office by August 1st. Students not in compliance by the first day of school will be excluded from school until the required documentation is submitted to the health office.