Please reference the outlines below for help navigating your child's health form requirements. 

Required Health Forms for Returning Students
Required Health Forms for New Students

Questions? Contact the Health Office at healthoffice@shschicago.org. 

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.

Required for all students entering SK and Grade 6, as well as all new students entering Grades PK-8.

This form details health and immunization history and verifies a full examination by a licensed health care provider performed after September 1, 2020. In addition to the doctor's portion, a Parent must complete and sign the Health History section at the top of the second page.

Click here for form (PDF).

Required for all students entering SK and new students entering Grades 1-8 who are transferring from an out-of-state school.

This form serves as proof of an eye exam performed after September 1, 2020.  Because of the instrumentation required, these examinations are performed by either an ophthalmologist or optometrist. 

Click here for form (PDF).

Required for all students entering SK, Grade 2 and Grade 6. 

This form serves as proof of an oral health exam performed by a licensed dentist after November 15, 2020. 

Click here for form (PDF).

Required for athletic participation.

The Illinois Elementary School Association requires all students participating in competitive sports to have this physical exam form on file with the school before the first sports practice. We suggest having your physician complete the form along with the IL Certificate of Health Exam described above.

Click here for form (PDF).

Required for any student prescribed an inhaler.

This form requires a physician's signature. We suggest having your doctor complete the form along with the IL Certificate of Health Exam described above.

Click here for form (PDF).

Required for any student prescribed an epinephrine auto-injector.

This form requires a physician's signature. We suggest having your doctor complete the form along with the IL Certificate of Health Exam described above.

Click here for form (PDF).

Suggested for all students. Required for Grades 6-8.

This form is required on an annual basis for all students in Grades PK-8 who will need prescription and/or over-the-counter medications administered at school. This form requires a physician's signature. We suggest having your doctor complete the form along with the IL Certificate of Health Exam described above.

Click here for form (PDF).