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Meet our school health team:

  • Kathy Jones APN, CSN:  Kathy Jones is the full-time Certified School Nurse and Advanced Practice Nurse in Holistic Health.  She services the four school centers for regular education and special education.  Kathy is also certified in Vision & Hearing Screening.
  • Leann Milstead, LPN: Leann is a Licensed Practical Nurse serving as the health aide for regular education students and SOWIC special needs students at RCPS.
  • Victoria O’Brien, MA- Certified School Psychologist servicing regular and special education students in all district schools.



​Exam Forms ​Waivers/Orders ​Action Plans

State of Illinois Physical Exam Form

Dental Exam Waiver ​Asthma​
​Dental Exam Form Eye Exam Waiver Cardiac Condition
Eye Exam Form Field Trip Health Reminder​ Diabetic
​​Hearing Form​ Health History/Medical Order​​ Food Allergy/Anaphylaxis
IHSA/IESA Sports' Physical Exam​​ Religious Exemption Form Seizure
Food Allergy Alert Form​​ Immunization Report​
​Concussion Documentation​ ​Concussion Information​
Minimum Immunization Requirements​​



for forms required for participation in Sports and Extra-curriculars.





​Organization ​Phone
Crisis Line of Will County ​815-722-3344
Grundy County Health Department ​815-941-3404
Illinois Department of Public Health ​217-782-4977​
Lions' Club (Braidwood, Godley, & Shadow Lakes) ​815-791-8093
​Lions' Club (Essex) ​815-365-4093
​Lions' Club (Wilmington) ​815-476-9591
Smile Illinois . . . Permission Form ​888-833-8441
Will County Center for Community Concerns ​815-722-0722
Will County Dental Clinic ​815-774-7300
Will County Health Department ​815-727-8480
Will County Health Department Immunization Clinics



UIC Children's Health​ ​1-800-425-5454


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Illinois School Health Mandated Requirements



These mandated health requirements are due on the first day of school:


​Grade level/Activity ​Exams ​Immunizations
​Early Childhood
or Preschool
IL ​Physical Exam
  • Pneumococcal Conjugate (4 doses)
  • Hib (4 doses)
  • ​DTaP (4 doses)
  • Polio (3 doses)
  • MMR (1st dose) 
  • Varicella (1st dose)
  • ​​DTaP (4 doses)
  • Polio (4th dose)
  • MMR (2nd dose)
  • Varicella (2nd dose)
2nd Grade
(due by May 15th - 2nd grade year)
​6th Grade
(due by May 15th - 6th grade year)
  • Tdap (1 dose)
  • ​Hepatitis B (3) shot series
  • Varicella (2nd dose, if not given previously)
  • Meningococcal Conjugate (MCV4) 1st dose
​9th Grade
​IL Physical Exam
Dental Exam Form​
  • ​Tdap, if not received at 6th grade
  • Varicella (2nd dose, if not given at Kindergarten or 6th grade)
12th Grade
  • Meningococcal Conjugate Must have 2 doses, the 2nd dose after 16 yrs of age.
New Student
moving in
from another state
IL ​Physical Exam
  • Submit list of immunizations to the Certified School Nurse (CSN) for evaluation to determine if other immunizations are needed.
School Sports



*Save yourself money!  If your student is in a sport activity, the Illinois mandated Physical Exam (6th or 9th grade) can be used as a Sports' Physical Exam.  However, the Sports' Physical Exam does not meet the requirement for the State of Illinois mandated Physical Exam.



Communicable Disease Notifications & Health Topics

Illinois Health Facts Sheet


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