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Monday, October 25, 2021

Health Requirements and Health/Medication Forms

Covid Information

  • Your Child Has One or More Symptoms of Covid-19 - Click here

 

 

  • Diocesan Covid Protocol - Click here

 

 

 

 

  • Home Quarantine Guidance - Covid-19 Quarantine and Testing Recommendations - Click here

 

Optional Covid Testing at ASCA

Our protocol at All Saints, in accordance with the local health department, has been to send a child home if he/she exhibits a COVID symptom and requires a negative COVID test result for the child to return to school.

 

We are now able to administer a rapid COVID test here at school for symptomatic individuals, with parent consent. Please click here to download the consent form, which must be completed and returned to the school nurse if you would like your child to participate. This program is optional. If you return the written consent, we will still contact you via phone before administering the test to inform you of your child’s symptom(s) and receive verbal consent. You will be notified of all test results as well. If you have any questions, please contact our nurse, Mrs. Fuller (sfuller@ascacademy.org).

 

The CDC, the IL Department of Public Health and the DuPage County Health Department are updating information about the coronavirus (COVID-19) on their websites regularly. 

 

Please see the following important information about the coronavirus: 

 

 

 

 

 

Illinois COVID-19 Hotline and Email Address

  • If you have questions about Coronavirus, call the Illinois Coronavirus Disease (COVID-19) Hotline at 1-800-889-3931, or send an email to DPH.SICK@ILLINOIS.GOV anytime, 24 hours a day, seven days a week.

 

Health Requirements by Grade Level

Welcome to All Saints Catholic Academy (ASCA).  Please review the following health examination and immunization requirements in Illinois and the policy of our school.  ASCA will follow the mandates of the Illinois Department of Public Health about required immunization of our students. 

 

Health Requirements by Grade Level

 

  • Preschool Students:
    • Physical Exam (Parent MUST complete the yes/no questions on the back of physical, sign and date, if not complete it is INVALID) dated within one year of first day of school
    • Complete Immunization record signed by a doctor
    • Physical and Immunizations are DUE by OCTOBER 15th

 

  • Kindergarten Students:
    • Physical Exam (Parent MUST complete the yes/no questions on the back of physical, sign and date, if not complete, the physical in INVALID) dated within one year of first day of school
    • Complete immunization record signed by a doctor
    • Eye Exam on IL form dated within one year of the first day of school
    • Physical, Immunizations, and Eye Exam are DUE by OCTOBER 15th
    • Dental Exam on IL form due May 15th (dated within 18 months of May 15th deadline)

 

  • Second Grade Students:
    • Dental Exam on IL form due May 15th (dated within 18 months of May 15th deadline)

 

  • Sixth Grade Students:
    • Physical Exam (Sports physical NOT acceptable, Parent must complete yes/no questions on the back of the physical, sign and date, if not complete, the physical is INVALID) dated within one year of first day of school.
    • Complete immunization record signed by a doctor including (1) Tdap, (1) meningitis-these are 6th grade requirements
    • Physical and Immunizations are DUE by OCTOBER 15th
    • Dental Exam on IL form due May 15th (dated within 18 months of May 15th deadline)

 

New Students from Out of State or Out of District

New students enrolling in an Illinois school for the first time will be required to obtain a physical examination, vision exam, and provide up-to-date immunization record regardless of grade DUE within 30 days of the first day of school.

 

Sports Physical

Any student participating in intramural sports must turn in an IHSA sports physical form prior to the first practice.  A sports physical MAY NOT be used as the required school physical.  However, a physical exam competed on the Certificate of Child Health Exam form may be used as a sports physical. 

 

Religious Objections

  1.  Parents who are requesting a religious exemption to immunizations or examinations must complete the Illinois Certificate of Religious Exemption Form.
  2. The health care provider, responsible for performing the child’s examination must sign the form.

 

Medical Exemptions

Statements from physicians, indicating an immunization is medically contraindicated and predisposes the student to a potential health risk if vaccinated, should be attached to the physical form.

 

Physical Exams, immunization requirements, and eye exams are due at the start of school year and must be submitted no later than Friday, October 15, 2021. Dental forms are due prior to May 15, 2022.  The forms must be mailed or dropped off at the main office. 

 

 Students who do not submit a valid Health Physical by October 15 will be excluded from school until the Health Physical is turned in. 

 

Health Forms

 

Health Physical

 

Dental

  • Illinois Dental Examination Record (Spanish)

 

Vision

Illinois Eye Exam Report

 

Sports Physical

IHSA Sports Physical

 

Religious Exemption for Immunizations

Illinois Certificate of Religious Exemption

 

Medication Forms

Medication forms need to be completed every school year.  Authorization for over-the- counter medication (i.e. Tylenol, cough drops, etc.) as well as prescription medication must have a medication permission form for each individual medication signed by the physician as well as a parent/guardian, giving the nurse authorization to administer the medication.

Medication must be brought to health office in the original container, labeled with the student’s name. Over-the-counter medication must be unopened and not expired.

 

 

Medication Permission Form

ASCA Medication Order Form (one form required for each medication)

 

Allergy

Illinois Food Allergy Emergency Action Plan and Treatment Authorization

 

Asthma

 

Diabetes

Diabetes Management Plan

 

Seizures

 

 

                                                                                                                                      

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