Andrew Health Services

Click on the graphic above to report a COVID-19 Close Contact or
Positive Case for your student.

COVID-19 Vaccination Proof

STUDENTS: Parents that wish to submit their child’s COVID-19 vaccination record can do so by clicking on “Online Forms” in the left navigation area of Skyward Family Access.
STAFF: Staff that wish to submit their COVID-19 vaccination record can do so here.

HEALTH FORMS & INFORMATION

All health forms must be submitted electronically to
CHSD230 Student Medical Information 
Click on the Uploads tab to submit your forms.

INCOMING FRESHMAN STUDENTS
All incoming freshman are required to submit: 

1. STUDENT EMERGENCY INFORMATION  Due by March 31, 2022 
   
   
2. CERTIFICATE OF CHILD HEALTH EXAM  Due by May 1, 2022
   Health examination with proof of immunizations prior to the first day of school. This health examination must be completed by a MD, DO, APN or PA on or after 8/17/21.  The Health History section on page 2 must be completed and signed by the parent/guardian.
   
   
3. DENTAL EXAMINATION  Due by May 1, 2022
   Dental examination must be completed by a licensed dentist on or after 11/15/21. 

INCOMING SENIOR STUDENTS

Students entering 12th grade in the State of Illinois are required to have proof of the following immunization from their physician - Due by May 1, 2022 

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

Acceptable documentation of meningococcal conjugate vaccination includes:

• • Printout from your health care provider’s electronic medical record indicating the date of vaccination OR
  • Current Certificate of Child Health Examination signed by your healthcare provider indicating the date of vaccination. 

INCOMING TRANSFER STUDENTS

All Transfer students must submit:

• STUDENT EMERGENCY INFORMATION

• CERTIFICATE OF CHILD HEALTH EXAM

• DENTAL EXAMINATION
• ILLINOIS EYE EXAMINATION (Only required for out-of-state transfer students)

STUDENTS WITH DAILY HEALTH NEEDS

• • Any medication required during the school day, including over-the-counter medication, requires a Medication Authorization Form and must be stored in the health office. 
  • Students with asthma, diabetes, epilepsy, and life threatening allergies require additional medical documentation.  

SPORTS PHYSICAL EXAM

Required for student athletes grades 10, 11, 12

• • All students wishing to participate in athletics must have an IHSA PreParticipation Physical Form on file with the athletic office. 
  • All Sports Physicals should be sent to CHSD230 Athletic Physical Upload OR visit Andrew HS Athletics Department for more information.

Andrew Health Services Staff