Welcome to the Herscher CUSD No. 2 Health Office
In order to better serve your child's educational and health needs, the following questionnaire is available for you to print out and complete to keep your child's health record current.
Child Health Examination Forms
Students entering kindergarten (or first grade if not previously enrolled in kindergarten), sixth grade and ninth grade must provide proof of physical examination on a form approved by both the Illinois Department of Public Health and the Illinois State Board of Education. Students entering an Illinois school from out of state or out of country for the first time at any grade level must also provide the physical exam form. The exam must be completed within a year (365 days) prior to the first day of the current school year. State of Illinois Certificate of Child Health Examination
PLEASE BE ADVISED THAT STARTING 2018/2019 SCHOOL YEAR: MONDAY OCTOBER 15TH, 2018 WILL BE THE LAST DAY TO TURN IN SCHOOL PHYSICALS AND IMMUNIZATIONS FROM PRE-K, KINDERGARTEN, 6TH, 9TH, AND 12TH GRADERS. THERE WILL NOT BE ANY EXTENSIONS OFFERED AND STUDENTS WILL BE EXCLUDED UNTIL THEIR PHYSICALS AND IMMUNIZATIONS ARE UP TO DATE AND TURNED IN PER ILLINOIS LAW. SECTION 665.230 ADMINISTRATIVE CODE
Students who transfer from out of state are required to submit a health exam with immunizations within 30 days of starting school. If the required exam and immunization records are not submitted within 30 days of starting school, then the student is not allowed to attend school until the required documentation has been submitted.
***Illinois Department of Public Health issues a New School Immunization Requirement for 2016-2017 School Year**
The immunization requirement consists of one dose meningococcal conjugate vaccine (MCV4) for 6th grade entrance and 2 doses for 12th grade entrance, if the first MCV4 dose is administered to a child who was 16 years of age or older, only one dose is required at 12th grade entrance (basic immunization requirements 665.240).
PUBLIC ACT 097-0910 SECTION 99
BONFIELD GRADE SCHOOL- 99.1% COMPLIANT WITH IMMUNIZATIONS AND PHYSICALS
HERSCHER INTERMEDIATE SCHOOL- 100% COMPLIANT WITH IMMUNIZATIONS AND PHYSICALS
LIMESTONE MIDDLE SCHOOL- 99% COMPLIANT WITH IMMUNIZATIONS AND PHYSICALS
HERSCHER HIGH SCHOOL-92.4% COMPLIANT WITH IMMUNIZATIONS AND PHYSICALS
Dental Exam Form
Children entering Kindergarten, 2nd, and 6th grades are required to submit a dental form. Dental exam's must be completed by a licensed dentist. Here is the link for the form. Exams are due May 15th of the current school year. Exams must have taken place within 18 months prior to the May 15th deadline. A reminder will be sent out to parents at least 60 days prior to the May 15th deadline. A waiver form may be submitted in place of a dental exam if a student shows undue burden or lack of access to a dentist.
Eye Exam Form
All students enrolling in Kindergarten and students enrolling in an Illinois school for the first time must submit an eye exam. The requirement does not apply to preschool students. Here is the link for the form. Exam's must be completed within one year prior to the first day of the school year. Eye exam must be submitted by October 15th. A waiver may be submitted in place of an eye exam if a student shows undue burden or lack of access to an optometrist of physician who performs eye exams.
Objections to Exams and Immunizations
Medical exemption for a student by which a physician may exempt a child from a required immunization. A statement from the MD, DO, APN or PA stating immunity from a vaccine or that an immunization is medically contraindicated is acceptable. Should the condition of the child later permit authorization, the requirement will then have to be met. If an outbreak occurs in the school setting, the student must be excluded from school for 14 to 21 days per IDPH.
Requires the Illinois Certificate of Religious Exemption Form from the State of Illinois with a physician signed statement explaining the objections to physical exam, health screenings, and/or immunizations on religious grounds. If an outbreak occurs in the school setting, the student must be excluded from school for 14 to 21 days per IDPH.
Any over the counter medication (Cough Drops, Tums, Tylenol, etc.) and prescription medication require a doctors order. Students will not be given prescription and/or over-the-counter medication without a completed Medication Authorization Form signed by the parent and students physician. All medication MUST be brought to school in the original container and labeled with the student's name. A reminder will be sent out at the end of the school year to all parents whose child may have taken medication during the school year. At the end of the school year, any medication not picked up by the parent will be disposed of. All emergency medication (i.e. inhaler, Epi-Pen, diabetes supplies) will be sent home with the student at the end of the year.
Asthma medication and administration
Students with asthma have the option to self-carry their inhalers while in school, at school sponsored activity, before or after normal school activities. A Student Self-Administration Consent Form is required. Please attach a copy of the original prescription label to the consent form. A physician signature is not required, only the parent/guardian signature is required in the State of Illinois. Public Act 096-1460 .
Inhalers can also be kept in the school health office, here is the form for medication authorization
Please note: Illinois Public Act 099-0843 requires schools to request from the parent or guardian of students with asthma an Asthma Action Plan (AAP) The Asthma Action Plan can be filled out by the student's primary care provider and submitted to the school nurse.
Students with severe allergies and asthma may require an Epi-Pen emergency auto-injector for anaphylaxis. Students and parents have the option to self-carry their Epi-Pen while in school, while at school sponsored activities, or before or after normal school activities. Students may also keep their Epi-Pen in the main health office. Written authorization is required from the student's parent/guardian and student's physician. Please fill out the Illinois Allergy Emergency Action Plan if your child has a severe allergy and requires emergency medication.
Please contact the school nurse at 815-421-5025 or HendersonK@hcusd2.org if your child has a medical condition or special health care needs during the school day.
Vision & Hearing Screenings
Screenings start in the fall and will continue throughout the school year
Vision Screenings mandated per IDPH and ISBE: Pre-K, K, 2, 8 and all children with IEP's in the district
Hearing Screenings mandated per IDPH and ISBE: Pre-K, K, 1, 2, 3 and all children with IEP's in the district
If the parent/guardian does not want their student screened please put in writing and send to Kimberly Henderson, school nurse. (notice per IDPH request.)