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