District Immunization Summary for Wabash CUSD #348

State Dental Exam Requirement

 Parents, please note that the State of Illinois requires that all children entering Kindergarten, 2nd, 6th and 9th grades have an oral health examination.  A licensed dentist must perform the examination and he/she will need to sign the proof of examination form.  Each child shall present proof of examination by a dentist before May 15, 2024.  The exam must be recorded on the Illinois State Form and must have been completed within 18 months of the deadline (completed between 11/15/22 and 5/15/24).  Anyone failing to provide the required exam or filing a waiver with the school will have their report card withheld until they become compliant.  These forms will be sent home with the physical forms on May 3rd.  If you have appointments prior to the forms being sent home please stop by the office to get the form to take with you.

Self-Carry Medication

 If your child is required to self-carry an inhaler, epi-pen, or diabetic medication then the Authorization for Self-Carry/Administration of Medicine must be filled out by the physician and the parent/guardian.  Please ask the school nurse for this form prior to visiting the physician.  It is also recommended that an extra dose of medication be brought to the school and left in the nurse’s office in the instance that the medication is not available.

Click the links below to download instructions and forms.

• Health Requirements for school enrollment.

• Rules for Immunizations

• School Physical - This form will also be used as a sports physical.
  (Required for entry into Kindergarten, 6th and 9th grade. Also required for any new student enrolling in an Illinois school for the first time.)

• A Sports Physical must be completed prior to participation in a sports activity.

• Dental Exam - Required for Kindergarten, 2nd, 6th and 9th grades.

• Eye Exam - Required for Kindergarten and any new student enrolling in an Illinois school for the first time.

• School Medication Form - Required to be completed by a physician if the student is to keep medication at school.

• Authorization for self-carry medication.
  (Required to be completed by parent and physician if the student is to carry inhaler or epi-pen at school.

• Pre-participation Examination Sports Physical

• Diabetes Medical Management Plan (DMMP)

• Food Allergy Action Plan - Emergency Care Plan

• Allergy Assessment - Family Food Allergy Health History Form

• IDPH - Asthma Action Plan

• Illinois Religious Exemption Form

• Pfizer COVID-19 Consent Form

• 12th Grade Immunization Consent Form

• Student Consent COVID-19 Testing Form