Health Forms Upload

This form may be used to securely send a picture or scanned PDF copy of completed health documents to your student's health office.
Documents such as:

  • Student Physical Forms (mandatory for incoming Kindergarten, 6th grade, and new D34 students)
    Due by: First day of school (if not submitted, student will be excluded)
    Please ensure the Health History on the second page is completed and signed by parent/guardian to make the Physical Form fully completed
    Physical form parent section
  • Dental Exam Forms (mandatory for incoming Kindergarten, 2nd and 6th graders)
    Due by: May 15 (may be submitted earlier)
  • Vision Exam Form (mandatory for incoming Kindergarten or anyone new to an Illinois school)
    Due by: October 15 (may be submitted earlier)

For more information on school health requirements and to download the needed forms for your doctor/dentist to fill out visit:

PLEASE NOTE: This form is for a single student. If you have multiple students in the district you must fill out the form once for each student.
Used by health staff to communicate about the uploaded documents.
Maximum 5 files.
5 MB limit.
Allowed types: gif, jpg, jpeg, png, pdf, heic.