
Shepard Health Requirements
Incoming 6th Graders for the for 2024 - 2025 School Year
Meet Your School Nurse!
Mrs. Farrar, RN BSN
Shepard School Nurse
Email: cfarrar@dps109.org
Phone: (847)-948-0620 x5103
If you have any questions or need assistance, please contact your building nurse. They will be able to answer your questions regarding your child's health records. If you have any questions over the summer, please contact our Assistant Superintendent of Student Services, Joanna Ford at jford@dps109.org or (847)-945-1844 x7229
Hello Parents & Guardians of Incoming 6th Graders!
We are very excited to welcome you as a Shepard Spartan in the coming school year. Before your child walks into their building on August 19th, there are some health forms that need to be completed. Below you will find information regarding the current health requirements for entry into 6th grade.
Requirements and Important Dates
Physical Examination - Due at the beginning of the 2024-2025 school year.
Immunizations - Due at the beginning of the 2024-2025 school year.
Dental Exam - Must be completed between November 15th, 2023, and May 15th, 2025
Where Can I Submit My Health Forms?
Please select the button below or visit our Jotform to fill out and securely upload your health requirements. For your convenience, multiple files can be uploaded in one submission. If. If you have more than one child, a form will need to be uploaded for each individual student. Please remember to upload all pages of the forms to meet the requirements.
Physical Examination
Physical examinations are required for all students entering 6th grade. This physical exam must be recorded on the State of Illinois Certificate of Child Health Examination Form. Remember to check and sign the "Health History" portion for parent completion. It is not necessary to submit an additional SPORTS PHYSICAL form for Interscholastic Sports participation as this exam will meet the requirements for participation. It will expire 395 days from the date of the physical exam.
Immunizations
The State of Illinois requires students entering 6th grade to show proof of vaccination for Meningococcal, a dose of Tdap or Dtap after age 10, and a complete Hepatitis B series. Immunizations must be up-to-date, recorded on the State of Illinois Certificate of Child Health Examination Form, and administered as recommended by the Illinois Department of Public Health per State of Illinois mandates. For a list of immunizations please visit the Illinois Department of Public Health.
Dental Examination
Dental examinations are required for all students entering 6th grade. The examination must be performed by a licensed dentist, completed on the Dental Examination Record Form, and be on file in the school health office. To meet the 2024-2025 school year requirements, the dental examinations must be completed between November 15, 2023, and May 15, 2025.
Please note in lieu of the immunization and health examination, parents/guardians may submit the: Illinois Certificate of Religious Exemption to Required Immunizations and/or Examinations Form.
Katerina Schroeder
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