Health Information Medical Forms
Parents have the primary responsibility for the health of their children. The efforts of the school are directed to help parents recognize and assume their responsibility.
A trained staff provides quality care to the children in the Wilmette schools. The District employs registered nurses or licensed practical nurses for the full-time health paraprofessional positions.
According to The School Code of Illinois, physical examinations are required of all students prior to initial entrance into school and upon entrance into sixth grade. All children entering kindergarten must submit a recent physical examination form. All children new to the District must also do so.
Physical and dental examination forms are available from the school health office or secretary, or may be downloaded below. All health examination forms must be dated.
Children are not permitted to enter school until this requirement is met. If you have questions about health services in WPS39, please contact the health services provider at your school.
| Form | Description | Download |
| Physical Exam | This form is required for all students who are new to District 39, as well as all students entering Kindergarten and Sixth Grade. | Physical Exam (2.4 MB) |
| Vision Exam | This form is required for all students who are new to District 39, as well as students entering Kindergarten. | Vision Exam (30 kB) |
| Dental Exam | This form is required for all students who are new to District 39, as well as students in Grades K, 2 and 6 by May 15 of that school year. | Dental Exam (176 kB) |
| Medication Authorization Packet | This packet is for any medication (prescription or over-the-counter) to be administered at school. | Medication Authorization (135 kB) |
| Anaphylaxis Care Plan | For children with severe allergies, an Allergy Emergency Action Plan and Treatment Authorization (e.g., Epi-Pens). | Anaphylaxis Care Plan (114kB) |
| FAQ | Frequently Asked Questions about Health Records Requirements | Health Records FAQs (161 kB) |
All forms are in PDF format, and may be viewed with Preview (on a Mac) or with Adobe Reader (any platform).
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