• **NEW** Digital Option for 2019-20 School Year

    A new online form submission process is being piloted this year to ease the process of turning in all medical forms for incoming Freshman and returning students
    The district is excited about the modernization of this process and appreciates families’ patience as we implement the new system. Once submitted, all documents will be reviewed by staff to assure authenticity.

    Incoming Freshman or Transfer Student 

    **Required** Certificate of Child Health Exam Form: State of Illinois form must be completed and signed by a licensed physician, APN, or PA. Form MUST 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 
    •  One dose of Meningococcal vaccine on or after the 16th birthday for incoming seniors.

    All incoming Freshmen students must have a complete physical with immunization dates and a dental examination on file with the School Nurse before they can receive their schedules in August.  

    Click on the links below to obtain the correct form(s).

    Dental Examination Form 

    Dental Examination Waiver Form  

    Medication Authorization Form: if applicable for daily and as needed medications at school.  

    Asthma Action Plan: an Asthma Action Plan from the doctor for students with Asthma.  

    Allergies Action Plan: The Anaphylaxis Action Plan for students for Allergies 

    Eye Examination Report: required for students entering the Illinois School System for the first time.  

    Eye Examination Waiver Form

     

    Parents interested in submitting documents digitally should following the steps below:

    If using a Smartphone:

    1. Click on https://lf.d230.org/Forms/Medical
    2. Fill out the form and upload the document(s).
    3. Provide electronic signature at the bottom of the form and click submit.

    If using a computer (Desktop, laptop, etc.):

    1. Click on https://lf.d230.org/Forms/Medical
    2. Fill out the form and upload the document(s).
    3. Provide electronic signature at the bottom of the form and click submit.

    Translations - below are reference guides for Spanish, Polish, and Arabic:

     

Arabic 9th Grade Forms

Polish 9th Grade Forms

Spanish 9th Grade Forms