School Health, Physical, and Immunization Forms

This document is used to report Allergy Health History.  It needs to be completed even if a student does not have a current medical condition, allergy, or special need at the time of registration. 

Allergy Health History Form (English)

Allergy Health History Form (Spanish)

Each incoming student is requried to provide record of a dental examination.  This is a new requirement that started in the 2021-2022 school year. 

Dental Exam Form - English

Dental Waiver Form - English

Dental Exam Form - Spanish

Dental Waiver Form - Spanish

This form informs the school of who should be contacted in the case of emergency.  

Emergency Form (English)

Emergency Form (Spanish)

An eye exam is required the first time a student enrolls in an Illinois school.  

Eye Exam Report Form

Eye Exam Waiver Form

This document lists the immunization requirements for students.

Illinois Department of Health Immunization Requirements

All students new to the District (9th graders and any student attending Rantoul Township High School for the first time) must have this physical form completed by a doctor prior to the first day of school.

Certificate of Child's Health Form - English

Certificate of Child's Health Form - Spanish

Parents or legal guardians who are requesting a religious exemption to immunizations or examinations must use this form for students entering ninth grade. 

Religious Exemption Parent Letter

Religious Exemption Form