• Sandburg Nurse's Office

    Click here for the 2021-22 School Year Digital Forms

    ATTENTION INCOMING FRESHMAN CLASS OF 2025

    EMERGENCY INFORMATION SHEET -Due by February 15, 2021

    CERTIFICATE OF CHILD HEALTH EXAM  -Due by May 1, 2021     
    State of Illinois Child Health Exam form must be completed and signed by a licensed physician, APN, or PA. A sports physical is NOT acceptable for this requirement.
      

    Form MUST be dated on or after August 13, 2020 and show the following immunizations:
                                  

    •  Tetanus Diphtheria, Pertussis series with Tdap booster 
    •  Two (2) doses of measles, mumps, rubella vaccine (MMR) – 1st dose having been given on or after the 1st birthday 
    •  Polio vaccine series with booster given on or after the 4th birthday 
    •  Two (2) doses of varicella vaccine (the 1st dose having been given on or after the 1st birthday)
    •  Three (3) doses of Hepatitis B according to the required schedule 
    •  One dose of Meningococcal vaccine on or after 11th birthday for freshman
    • The Heath History section on page 2 must be completed and signed by the parent/guardian.  
    • State of Illinois Child Health Exam form will satisfy the athletic department sports physical requirement for freshman year for a period of 13 months from exam date.  Athletes do not need a separate sports physical for their freshman year. If a sports physical is completed by your doctor, please fax it directly to the athletic department at (708) 737-7722.

     DENTAL EXAMINATION -Due by May 1, 2021

    Completed forms should be submitted via ONLINE to Laserfiche https://lf.d230.org/Forms/Medical


    ATTENTION INCOMING SENIOR CLASS OF 2022

    Students entering 12th grade in the State of Illinois are required to have proof of the following immunization from their physician by May 1, 2021 

    • A dose of Meningococcal conjugate vaccine on or after their 16th birthday. 

    Documentation should be submitted ONLINE to Laserfiche https://lf.d230.org/Forms/Medical 


    Sandburg Health Services

    Office Staff

    cs nurses office

    Diane Karamagianis, BSN, RN, IL PEL-SN
    Carl Sandburg High School
    Illinois Certified School Nurse
    Certified Vision and Hearing Screening Technician

    708-671-3851
    dkaramagianis@d230.org

    Lesley Caponigro
    Carl Sandburg High School
    Health Services Office Secretary
    708-671-3118
    lcaponigro@d230.org

    Our Fax # is 708-737-7721

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