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Dental Exam form

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Topic: 
Form
Health

The Illinois Department of Public Health requires a dental examination of all children in kindergarten, second and sixth grades. The authorized form must be completed and submitted to the school health office by May 15th of the child’s kindergarten, second or sixth grade school year. Exams completed up to 18 months prior to the May 15th deadline will be accepted. A hard copy of the Illinois Department of Public Health Dental Examination Form and instructions will be sent home at the start of the 18 month time frame.

File: 
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DentalExam.pdf

From the Nurse

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If your child requires medication to be administered at school, you must provide the following:

1. An order from the doctor,
2. Parent’s signature on medication form (obtain from the school nurse or our
website under “Health”), and
3. Medication in original container.