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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.

 HEALTH FORMS
 

  

​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​​ ​Concussion Protocol​​
​Concussion Documentation​

 

 

Visit our  ATHLETIC/INTERSCHOLASTIC FORMS  page

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

 




HEALTH SERVICES

 

  

​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

​815-740-8143

877-942-5807

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)
Kindergarten
  • ​​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


Illinois Health Facts Sheet


Immunization Requirements

Minimum Immunization Requirements​​

Immunization Report​

 

 

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