Physical-Immunization

2022-2023 School Year
First Day Exclusion: Glen Ellyn School District 41 policy requires a child entering kindergarten or 6th grade or NEW to District 41 to have a current State of Illinois physical and updated immunization record on file PRIOR to the first day of the school year (the first day of school is August 18, 2022). 

Click for DuPage County Health Department Immunization Resources 

Physicals

A 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 between August 18, 2021 - August 17, 2022.

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 on or before August 17, 2022. New students, kindergarten and 6th grade students, who do not have a physical and immunization record on file with the school by August 17, 2022 will not be allowed to attend school.

Certificate of Child Health Exam

Immunization Requirements for Preschool:

Diptheria, Tetanus, Pertussis - Three doses by 1 year of age. One additonal dose by 2nd birthday
Polio - Two doses by 1 year of age. One additional dose by 2nd birthday.
Measles, Mumps, Rubella - One dose on or after the 1st birthday but prior to 24 months of age.
Haemophilus influenzai type b - Per your doctor's schedule
Hepatitis B - Three doses for all children 2 years of age or older.
Varicella - Two doses on or after the 1st birthday
Pneumococcal - Children 24 - 59 months of age who have not received the primary series of pneumococcal conjucate vaccine, according to the recommended vaccination schedule, shall show proof of receiving one dose of pneumococcal vaccine.

Immunization Requirements for First Entry into School - Kindergarten or First Grade:

Diptheria, Tetanus, Pertussis - Four or more doses of DTP/DTaP with last dose qualifying as a booster and received on or after the 4th birthday.
Polio - Four or more doses of the same type of Polio vaccine with the last dose received on or after the 4th birthday.
Measles, Mumps, Rubella - 2 doses of Measles, Mumps, Rubella Vaccine, the 1st dose must have been received on or after the 1st birthday and the second dose no less than 28 days later.
Varicella - Students entering kindergarten must show proof of having received two doses of varicella vaccine, the first dose on or after the first birthday and the second dose no less than four weeks after the first dose.
Hepatitis B - Students entering kindergarten must have three doses administered at proper intervals.

Immunization Requirements for Students Entering Other Elementary Grades:

Diptheria, Tetanus, Pertussis - Three or more doses of DTP/DtaP or Td with the last dose received on or after the 4th birthday. Td booster every 10 years thereafter.
Polio - Three or more doses of Polio with the last dose received on or after the 4th birthday.
Measles - 2 doses of Measles, Mumps and Rubella Vaccine, the 1st dose received on or after the 1st birthday, and the second dose no less than 28 days later.
Hepatitis B - Students entering 6th grade must have three doses administered at proper intervals.
Varicella - One dose on or after the 1st birthday with a second dose administered no earlier than 28 days later.

Immunization Requirements for 6th Grade:

Diptheria, Tetanus, Pertussis - Three or more doses of DTP/DtaP or Td with the last dose received on or after the 4th birthday.
Tdap - One dose recieved within the year prior to entering 6th grade.
Polio - Three or more doses of Polio with the last dose received on or after the 4th birthday.
Measles - 2 doses of Measles, Mumps and Rubella Vaccine, the 1st dose received on or after the 1st birthday, and the second dose no less than 28 days later.
Hepatitis B - Students entering 6th grade must have three doses administered at proper intervals.
Varicella - One dose on or after the 1st birthday with a second dose administered no earlier than 28 days later.
Meningococcal - One dose of an immunization containing meningococcal conjucate vaccine (MCV4) is required for 6th grade entrance.