Health Office

As we strive to keep Sacred Heart's community happy and healthy, click here to view the illness policy.

Health Form Requirements by Grade

New Student or Student Transferring from In-State School

IL Certificate of Child Health Exam (Grades PreK, JK, SK, 6)
IL Proof of School Dental Exam (Grades SK, 2, 6)
IL Eye Exam Report (Grades SK, 6)
IESA Pre-participation Exam (Grades 3-8)
- Required for students participating in Sacred Heart's Athletic Program
SHS Permission to Administer Medication Form (Grades PreK-8)
- Required for all students in Grades 6, 7, and 8; and those PreK-5 students who will need prescription and/or over-the-counter medications
FARE Food Allergy and Anaphylaxis Emergency Care Plan (Grades PreK-8)
- Required for students prescribed an epinephrine auto-injector
American Lung Association Asthma Action Plan (Grades PreK-8)
- Required for students prescribed an inhaler
Diabetes Medical Management Plan (DMMP) (Grades PreK-8)
- Required for students prescribed medication for diabetes
Seizure Action Plan (SAP) (Grades PreK-8)
- Required for students prescribed medication for seizure

Pre-Kindergarten

IL Certificate of Child Health Exam
SHS Permission to Administer Medication Form
- Required for students who will need prescription and/or over-the-counter medications
FARE Food Allergy and Anaphylaxis Emergency Care Plan
- Required for students prescribed an epinephrine auto-injector
American Lung Association Asthma Action Plan
- Required for students prescribed an inhaler
Diabetes Medical Management Plan (DMMP) (Grades PreK-8)
- Required for students prescribed medication for diabetes
Seizure Action Plan (SAP) (Grades PreK-8)
- Required for students prescribed medication for seizure

Junior Kindergarten (Returning Student)

SHS Permission to Administer Medication Form
- Required for students who will need prescription and/or over-the-counter medications
FARE Food Allergy and Anaphylaxis Emergency Care Plan
- Required for students prescribed an epinephrine auto-injector
American Lung Association Asthma Action Plan
- Required for students prescribed an inhaler
Diabetes Medical Management Plan (DMMP) (Grades PreK-8)
- Required for students prescribed medication for diabetes
Seizure Action Plan (SAP) (Grades PreK-8)
- Required for students prescribed medication for seizure

Senior Kindergarten (Returning Student)

IL Certificate of Child Health Exam
IL Proof of School Dental Exam
IL Eye Exam Report
SHS Permission to Administer Medication Form
- Required for students who will need prescription and/or over-the-counter medications
FARE Food Allergy and Anaphylaxis Emergency Care Plan
- Required for students prescribed an epinephrine auto-injector
American Lung Association Asthma Action Plan
- Required for students prescribed an inhaler
Diabetes Medical Management Plan (DMMP) (Grades PreK-8)
- Required for students prescribed medication for diabetes
Seizure Action Plan (SAP) (Grades PreK-8)
- Required for students prescribed medication for seizure

Grade 1 (Returning Student)

SHS Permission to Administer Medication Form
- Required for students who will need prescription and/or over-the-counter medications
FARE Food Allergy and Anaphylaxis Emergency Care Plan
- Required for students prescribed an epinephrine auto-injector
American Lung Association Asthma Action Plan
- Required for students prescribed an inhaler
Diabetes Medical Management Plan (DMMP) (Grades PreK-8)
- Required for students prescribed medication for diabetes
Seizure Action Plan (SAP) (Grades PreK-8)
- Required for students prescribed medication for seizure

Grade 2 (Returning Student)

IL Proof of School Dental Exam
SHS Permission to Administer Medication Form
- Required for students who will need prescription and/or over-the-counter medications
FARE Food Allergy and Anaphylaxis Emergency Care Plan
- Required for students prescribed an epinephrine auto-injector
American Lung Association Asthma Action Plan
- Required for students prescribed an inhaler
Diabetes Medical Management Plan (DMMP) (Grades PreK-8)
- Required for students prescribed medication for diabetes
Seizure Action Plan (SAP) (Grades PreK-8)
- Required for students prescribed medication for seizure

Grade 3 (Returning Student)

IESA Pre-participation Exam
- Required for students participating in Sacred Heart's Athletic Program
SHS Permission to Administer Medication Form
- Required for students who will need prescription and/or over-the-counter medications
FARE Food Allergy and Anaphylaxis Emergency Care Plan
- Required for students prescribed an epinephrine auto-injector
American Lung Association Asthma Action Plan
- Required for students prescribed an inhaler
Diabetes Medical Management Plan (DMMP) (Grades PreK-8)
- Required for students prescribed medication for diabetes
Seizure Action Plan (SAP) (Grades PreK-8)
- Required for students prescribed medication for seizure

Grade 4 (Returning Student)

IESA Pre-participation Exam
- Required for students participating in Sacred Heart's Athletic Program
SHS Permission to Administer Medication Form
- Required for students who will need prescription and/or over-the-counter medications
FARE Food Allergy and Anaphylaxis Emergency Care Plan
- Required for students prescribed an epinephrine auto-injector
American Lung Association Asthma Action Plan
- Required for students prescribed an inhaler
Diabetes Medical Management Plan (DMMP) (Grades PreK-8)
- Required for students prescribed medication for diabetes
Seizure Action Plan (SAP) (Grades PreK-8)
- Required for students prescribed medication for seizure

Grade 5 (Returning Student)

IESA Pre-participation Exam
- Required for students participating in Sacred Heart's Athletic Program
SHS Permission to Administer Medication Form
- Required for students who will need prescription and/or over-the-counter medications
FARE Food Allergy and Anaphylaxis Emergency Care Plan
- Required for students prescribed an epinephrine auto-injector
American Lung Association Asthma Action Plan
- Required for students prescribed an inhaler
Diabetes Medical Management Plan (DMMP) (Grades PreK-8)
- Required for students prescribed medication for diabetes
Seizure Action Plan (SAP) (Grades PreK-8)
- Required for students prescribed medication for seizure

Grade 6 (Returning Student)

IL Certificate of Child Health Exam
IL Proof of School Dental Exam
SHS Permission to Administer Medication Form
IESA Pre-participation Exam
- Required for students participating in Sacred Heart's Athletic Program
FARE Food Allergy and Anaphylaxis Emergency Care Plan
- Required for students prescribed an epinephrine auto-injector
American Lung Association Asthma Action Plan
- Required for students prescribed an inhaler
Diabetes Medical Management Plan (DMMP) (Grades PreK-8)
- Required for students prescribed medication for diabetes
Seizure Action Plan (SAP) (Grades PreK-8)
- Required for students prescribed medication for seizure

Grade 7 (Returning Student)

SHS Permission to Administer Medication Form
IESA Pre-participation Exam
- Required for students participating in Sacred Heart's Athletic Program
FARE Food Allergy and Anaphylaxis Emergency Care Plan
- Required for students prescribed an epinephrine auto-injector
American Lung Association Asthma Action Plan
- Required for students prescribed an inhaler
Diabetes Medical Management Plan (DMMP) (Grades PreK-8)
- Required for students prescribed medication for diabetes
Seizure Action Plan (SAP) (Grades PreK-8)
- Required for students prescribed medication for seizure

Grade 8 (Returning Student)

SHS Permission to Administer Medication Form
IESA Pre-participation Exam
- Required for students participating in Sacred Heart's Athletic Program
FARE Food Allergy and Anaphylaxis Emergency Care Plan
- Required for students prescribed an epinephrine auto-injector
American Lung Association Asthma Action Plan
- Required for students prescribed an inhaler
Diabetes Medical Management Plan (DMMP) (Grades PreK-8)
- Required for students prescribed medication for diabetes
Seizure Action Plan (SAP) (Grades PreK-8)
- Required for students prescribed medication for seizure

New Students (Transferring from an Out-of-State School)

IL Certificate of Child Health Exam (All Students Entering Grades PreK-8)
IL Proof of School Dental Exam (Grades SK, 2, 6)
IL Eye Exam Report (Grade SK-8)
IESA Pre-participation Exam (Grades 3-8)
- Required for students participating in Sacred Heart's Athletic Program
SHS Permission to Administer Medication Form (Grades PreK-8)
- Required for all students in Grades 6, 7, and 8; and those PreK-5 students who will need prescription and/or over-the-counter medications
FARE Food Allergy and Anaphylaxis Emergency Care Plan (Grades PreK-8)
- Required for students prescribed an epinephrine auto-injector
American Lung Association Asthma Action Plan (Grades PreK-8)
- Required for students prescribed an inhaler
Diabetes Medical Management Plan (DMMP) (Grades PreK-8)
- Required for students prescribed medication for diabetes
Seizure Action Plan (SAP) (Grades PreK-8)
- Required for students prescribed medication for seizure

Please submit information electronically through the Magnus Health Portal.

Note: The Health Office is closed during the summer months. Between June and August, please contact the School Office, shsso@shschicago.org, or Admissions Office, admissions@shschicago.org, with questions.

Contact Us

Email:
healthoffice@shschicago.org.

SK-8 Health Office Phone:
(773) 681-8427

Preschool Health Office Phone:
(773) 751-7715

Courtney Sensenbrenner

Preschool Nurse/Receptionist

Lisa Durack

SK-8 School Nurse