Physical Examination and Immunizations

Glen Ellyn School District 41 policy requires a child entering kindergarten or 6th grade or NEW to District 41 have a current State of Illinois school physical and updated immunization record on file PRIOR to the first day of school in order to avoid exclusion.

New Students who enter school AFTER the first day of school have 30 calendar days to provide the health office with a current State of Illinois school physical and proof of immunizations in order to avoid exclusion. 

Click for DuPage County Health Department Immunization Resources 

Physicals

A State of Illinois school physical examination is required for entrance into Preschool, Kindergarten, 6th grade, and/or when transferring from an out of state school. The health history portion of the physical examination form must be completed and signed by the parent in order for the physical to be valid. The exam must be dated within the past twelve months of the student's first day of attendance. 

Physical examinations may be acquired through your primary medical provider. If you do not have a primary medical provider, you may contact your school nurse or the DuPage County Health Department for referrals to local health clinics that provide such services.

The physical exam must be documented on the Illinois Certificate of Child Health Exam. The form is available from the nurse's office, on the Illinois Department of Human Services website, or from your physician's office. The Illinois Department of Public Health Certificate of Child Health Exam form can be obtained by clicking the link at the bottom of this page.

All sections of the physical exam form, including the parent history section must be completed.

All physicals are due in the nurse's office prior to the first day of school of that school year. New students, kindergarten and 6th grade students, who do not have a physical and immunization record on file with the school by the first day of school of that school year will not be allowed to attend school.

Students who are new to the District, and begin after the first day of school, will have 30 days from their first day at school to provide to the health office a valid physical and up to date immunization record. Records will be requested from your child’s previous school, but it is the responsibility of the parent to ensure the documents are received by the school within 30 days.

Certificate of Child Health Exam 
Certificate of Child Health Exam Spanish