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SDU46

forms

For a detailed list of the forms needed in each required grade year, please see the tabs on the left hand side.

Health Forms

23-24 Health Requirements

23-24 Health Requirements.pdf 50.54 KB (Last Modified on March 7, 2023)

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23-24 Health Requirements Spanish

23-24 Health Requirements Spanish.pdf 34.24 KB (Last Modified on March 7, 2023)

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22-23 Health Requirements

22-23 Health Requirements.pdf 50.51 KB (Last Modified on May 5, 2022)

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22-23 Health Requirements Spanish

22-23 Health Requirements Spanish Revised.pdf 34.29 KB (Last Modified on May 5, 2022)

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Child Health Exam-English

Child Health Exam final 16-17.pdf 441.99 KB (Last Modified on May 22, 2020)

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Child Health Exam-Spanish

Child Health Exam Form 16-17 Spanish.pdf 370.2 KB (Last Modified on May 22, 2020)

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Dental Exam Form

Dental Exam form .pdf 199.11 KB (Last Modified on May 18, 2022)

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Dental Exam Form Spanish

Dental Exam form Spanish.pdf 150.97 KB (Last Modified on May 18, 2022)

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Dental Exam Waiver Form

Dental Waiver.pdf 138.84 KB (Last Modified on May 18, 2022)

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Dental Exam Waiver Form Spanish

Dental Waiver Spanish.pdf 171.42 KB (Last Modified on May 18, 2022)

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Eye Exam Form

State Eye Exam Form.pdf 29.55 KB (Last Modified on May 18, 2022)

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Eye Exam Waiver Form

Eye Exam Waiver.pdf 448.96 KB (Last Modified on May 18, 2022)

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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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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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