School Nurse

Each Lemont High School student has access to a group of school professionals who provide the supports necessary for students to succeed in the school program. Health services are provided by the School Nurse, who may be contacted at (630) 243-3231, or via e-mail by clicking on her name.

Health Examination and Immunization Requirements

The Illinois School Code and Illinois Department of Public Health require that students provide the school with a completed health examination form and up-to-date immunization record. Schools are allowed to exclude students who are not in compliance with health examination and immunization requirements. Parents and guardians are advised that all required health and immunization records must be on file in the school office by the first day of school each year.

Students whose records are not complete will not be allowed to attend school until all required health examination and immunization forms have been submitted to the school.

All students entering Lemont High School for the first time – including freshmen and in-state transfer students – must submit a complete State of Illinois Child Health Examination Form. This form must be signed by a licensed physician, advanced practice nurse (APN) or physician’s assistant (PA) in the State of Illinois.

All immunization dates since birth must be recorded (month/date/year) on the top of the Child Health Examination Form. These immunizations must meet the standards required by the Illinois Department of Public Health, with a signature from a physician or health care professional certifying their accuracy. The following immunizations are required for entry to an Illinois public high school:

  • One dose of the Tetanus, Diphtheria and Pertussis (Tdap) vaccine
  • One dose of the Meningococcal conjugate vaccine (with the dose having been given on or after the student's 11th birthday)
  • Two doses of the Varicella (i.e., chicken pox) vaccine (with the first dose having been given on or after the student’s 1st birthday and the second dose no less than four weeks later)
  • Two doses of the Measles, Mumps and Rubella (MMR) vaccine (with the first dose having been given on or after the student’s 1st birthday and the second dose no less than four weeks later)
  • Three doses of the Hepatitis B vaccine (administered at the recommended intervals)
  • Three or more doses of the DTP/DTap vaccine (with the last dose having been given on or after the student’s 4th birthday)
  • Three or more doses of the Polio vaccine (with the most recent booster having been given on or after the student’s 4th birthday)
Also, a student entering the 12th grade must show proof of having received an additional dose of the Meningococcal conjugate vaccine on or after his/her 16th birthday. (vaccine requirements).

Parents/guardians must complete and sign the Health History section on the back of the Child Health Examination Form. If left incomplete or unsigned, the form will be returned to the parent/guardian.

Parents/guardians are strongly encouraged to keep a copy of the completed Child Health Examination Form for their records.

The Child Health Examination Form also may be used for a student’s sports physical for up to 13 months. In order to be eligible for the complete school year, the form should be dated after May 15. Parents/guardians should provide a copy of the form to the Athletics Administrative Assistant, along with the other documents required for participation in athletics. The original copy of the physical should be submitted to the School Nurse.

All incoming freshmen also are recommended to submit the State of Illinois Eye Examination Report (please see the note at the bottom of the page) and the State of Illinois Dental Examination Form. These forms may be found on the right side of the page.

In addition to the State of Illinois Child Health Examination Form, out-of-state transfer students also are required to submit a State of Illinois Eye Examination Report, completed by an Illinois physician.

Lemont High School urges parents and guardians to schedule the appropriate medical appointments for their children early enough so that all immunizations and examinations are completed and documentation is on file in the Nurse’s Office in a timely manner. Child Health Examination Forms and the up-to-date immunization record are due in the Nurse’s Office by July 1.

Additionally, during the registration process, parents/guardians are urged to supply to the school any pertinent information about their children's medical history. This may be done by completing the "Medical Data Form" within the school's online registration module. If a student's medical condition changes during the school year, parents/guardians are asked to provide any updated information to the School Nurse.

Note: As of October 2015, parents/guardians who object for religious reasons to their child(ren) being immunized for school entrance must submit a Certificate of Religious Exemption, which must be signed by a qualified health care provider. The school no longer is allowed to accept any other verbal or written requests for students to be exempted from obtaining the required immunizations.

Procedures for the Administration of Medication at School

Students who require specific medications (over the counter and/or prescription) during the regular school day or a school-related activity must fulfill these requirements and adhere to these procedures prior to the implementation of any medication in the school setting.

1. A Medication Authorization Form (available on the right side of the page) must be completed, signed and returned to the Nurse's Office. The form must be signed both by the student's physician and parent/guardian, and should be accompanied by the physician’s written order for the medication.

2. A physician’s written order for a specific medication (over the counter and/or prescription) that a student is required to take during the regular school day or a school-related activity should include:

  • Diagnosis
  • Reason for medication
  • Frequency
  • Specific instructions (including precautions, possible adverse reactions and interventions)
  • Duration of procedural implementation

3. Parents/guardians must renew the Medication Authorization Form and the physician’s written order annually. Additionally, if the physician's written order changes during the school year, a new Medical Authorization Form must be submitted to the Nurse's Office in order to replace the standing order.

4. Parents/guardians are responsible for immediately notifying the School Nurse of any changes in a student's medication.

Vision Screening Notification

Students who do not have the State of Illinois Eye Examination Report on file with the school are subject to a vision screening by the School Nurse at the mandated age/grade level. Vision screening is not a substitute for a complete eye and vision examination by an eye doctor. Students who have had an eye examination by an optometrist or ophthalmolgist within the previous 12 months are not required to undergo a vision screening.


Meningococcal Vaccination Requirements

Illinois Department of Public Health

Cook County Department of Public Health

Immunization Compliance Report
(2018-19 school year)

Medical Forms - Student Registration

Medication Authorization
School Medication Authorization Form

School Medication Authorization Form
(Self-Administer and Self-Carry)

IDPH Asthma Action Plan Form

Illinois Food Allergy Action Plan Form

Seizure Action Plan Form

Wellness Committee
Minutes - Dec. 18, 2018

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