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Health Requirements 2019-2020 English

19-20 Health Requirements.docx 174.19 KB (Last Modified on May 23, 2019)

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Requisitos de Salud 2019-2020

19-20 Health Requirements Spanish.docx 171.51 KB (Last Modified on May 23, 2019)

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Health examination form (Revised 11/2015)

Health_Exam_Form_11-2015.pdf 441.99 KB (Last Modified on October 15, 2017)

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Allergy and Anaphylaxis Emergency Care plan (English)

Allergy and Anaphylaxis Emergency Care Plan REV2.pdf 37.58 KB (Last Modified on December 11, 2018)

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Asthma Assessment Form

ASTHMA ASSESSMENT FORM.pdf 169.29 KB (Last Modified on December 11, 2018)

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Asthma Assessment form-Spanish

ASTHMA ASSESSMENT FORM Spanish.pdf 27.77 KB (Last Modified on December 11, 2018)

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Dental Exam Waiver

DentalExamWaiver20-11_05_1.pdf 49.25 KB (Last Modified on October 15, 2017)

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Eye Exam

StateofILEyeExamForm_1.pdf 44.6 KB (Last Modified on October 15, 2017)

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Eye exam waiver

Waiver_eye_exam.pdf 448.96 KB (Last Modified on October 15, 2017)

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Illinois Certificate of Religious exemption to required Immunizations form

ReligiousExemption10-15.pdf 86.41 KB (Last Modified on October 15, 2017)

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Medication Administration form-Spanish

HS-MED-F001S_MEDICATION_ADMINISTRATION_PERMISSION_FORM_S.pdf 142.67 KB (Last Modified on October 15, 2017)

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Medication Administration Permission Form

MEDICATION ADMINISTRATION PERMISSION FORM ENGLISH.pdf 211.57 KB (Last Modified on December 11, 2018)

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Occupational & Physical Therapy Physician Referral

2017-2018 English Referral NPI.docx 41.49 KB (Last Modified on November 29, 2017)

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Occupational & Physical Therapy Physician Referral Spanish

2017-2018 Spanish Referral NPI.docx 41.45 KB (Last Modified on November 29, 2017)

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Proof of Dental Exam

DentalExamProof20-11_05.pdf 53.02 KB (Last Modified on October 15, 2017)

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