Health Office

1. Certificate of Child Health Exam - done within one year prior to the first day of school, complete with record of current required immunizations
2. Eye Exam or Eye Exam Waiver - only for students new to Illinois

• For students with a chronic medical condition requiring a medical plan for school, refer to our individualized health care plans.
• For life- threatening food allergies, please provide an Illinois Food Allergy Emergency Action Plan and Medical Conditions and Allergies Requiring Special Attention
• For Asthma, please submit a D30 Asthma Action Plan

• Medication Authorization from your student’s health care provider must be submitted for your student to receive any medication while at school.
• For over-the-counter and prescription medication administration, please submit a Medication Authorization form to the health office.

The below items must be submitted to Maple School:

1. Certificate of Child Health Exam - done within one year prior to the first day of school, complete with record of current required immunizations
   * Immunizations specific to incoming 6th-graders are 1 dose of the TDAP vaccine and one dose of the Meningococcal Conjugate vaccine
   *A second Varicella vaccine is required but likely to have already been given
2.  Dental Exam or Dental Exam Waiver
3. Sports Participation (optional) - A current health exam completed within 395 days prior to the last game/activity of that sport - you may use the Certificate of Child Health Exam OR the IESA Pre-Participation Exam.