- Illinois School Physical Form
- Authorization for Prescription Medication at School
- Over the Counter Medications at School
- Self Administration Authorization Form for Emergency Medication
- Medical Record Release Form
- Forms can be submitted to Amy Hagenow by fax at 815-937-8060 or by email at firstname.lastname@example.org
- Please note that it may take up to 48 hours or more to complete the transfer of health records and records cannot be accessed when school is not in session. This form must be completed entirely and signed to receive you or your child’s records.
- Illinois Required Immunization Guideline