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Andrew High School Nurse’s Office
Click here for the 2021-22 School Year Digital Forms
Attention Incoming Freshmen Students
Please see the MANDATED HEALTH REQUIREMENTS checklist for information on required health forms.
Attention Incoming Transfer Students
All Transfer students entering an Illinois school for the first time, must submit:
Emergency Information form
ILLINOIS Child Health Exam form with immunizations, completed within 1 year before starting school in Illinois
Illinois Eye Examination form or waiver, completed within 1 year before starting school in Illinois
Attention Incoming Senior Students
All incoming Seniors must submit proof of Meningococcal vaccine given on or after the student's 16th birthday, before they can receive their schedules in August.
Andrew High School Nurse's Office Staff
Email: vjanurse@d230.org
Fax: 708-737-7725
Teri Shiley, MA, BSN, RN, PEL-CSN, CHES
School Nurse
Phone: 708-342-5858
Email tshiley@d230.org
Bonnie Deval
Nurse's Secretary
Phone: (708) 342-5859
Email bdeval@d230.org
Important Documents
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MANDATORY HEALTH REQUIREMENTS Checklist
Physical/Certificate of Child Health Exam Form
Dental ExaminationForm
Dental Examination Waiver Form
State of Illinois Eye Examination Report
State of Illinois Eye Exam Waiver Form
State of Illinois Religious Exemption Form
Meningitis Senior Year Requirement Information
OPTIONAL HEALTH FORMS
Medication AT SCHOOL Authorization Form
Asthma Action Plan
Allergery and Anaphylaxis Emergency Plan
Seizure Action Plan
HELPFUL LINKS
IDPH's Information on Meningococcal Disease and Vaccine Information
IDPH's Information on Influenza and Vaccine Information