Student Health & Wellness (Nurse's Medical Corner)
Students are required by state law to have certain medical information completed prior to the start of school or risk being excluded from school due to medical non-compliance.
REQUIRED FOR ALL STUDENTS AT THE BEGINNING OF EACH SCHOOL YEAR
(1) Completed Student Medical Information Form: Parent completes. Please include a phone number and an e-mail address.
(2) Completed Vision Program Consent: Parent complies and must sign in TWO places and complete the medical history section.
(3) Completed Dental Program Consent: Parents complete and must sign in TWO places.
ILLINOIS STATE LAW MEDICAL COMPLIANCE is required for students in the following categories:
*Students first entering/transferring into CPS IN ANY GRADE LEVEL.
*Pre-school
*Kindergarten
*2nd grade
*6th grade
*9th grade
***See MINIMUM HEALTH REQUIREMENTS in the attached documents below***
WAIVERS
For students who may not be vaccinated due to medical or religious reasons, there is a new state policy requiring forms to be completed by both the doctor and the parent. The child will not be considered in compliance until these forms are completed as required by State of Illinois Policy.
DO NOT EVER GIVE THE SCHOOL YOUR ORIGINAL COPY OF YOUR MEDICAL RECORDS. ALWAYS KEEP A COPY FOR YOURSELF.
The OFFICE OF SCHOOL HEALTH and WELLNESS has many more resources available relating to student health. https://cps.edu/oshw/Pages/HealthyCPS.aspx
REQUIRED FOR ALL STUDENTS AT THE BEGINNING OF EACH SCHOOL YEAR
(1) Completed Student Medical Information Form: Parent completes. Please include a phone number and an e-mail address.
(2) Completed Vision Program Consent: Parent complies and must sign in TWO places and complete the medical history section.
(3) Completed Dental Program Consent: Parents complete and must sign in TWO places.
ILLINOIS STATE LAW MEDICAL COMPLIANCE is required for students in the following categories:
*Students first entering/transferring into CPS IN ANY GRADE LEVEL.
*Pre-school
*Kindergarten
*2nd grade
*6th grade
*9th grade
***See MINIMUM HEALTH REQUIREMENTS in the attached documents below***
WAIVERS
For students who may not be vaccinated due to medical or religious reasons, there is a new state policy requiring forms to be completed by both the doctor and the parent. The child will not be considered in compliance until these forms are completed as required by State of Illinois Policy.
DO NOT EVER GIVE THE SCHOOL YOUR ORIGINAL COPY OF YOUR MEDICAL RECORDS. ALWAYS KEEP A COPY FOR YOURSELF.
The OFFICE OF SCHOOL HEALTH and WELLNESS has many more resources available relating to student health. https://cps.edu/oshw/Pages/HealthyCPS.aspx
Files:
- 2019-2020 IDPH Minimum Immunization Requirements and appropriate vaccine spacing.pdf
- _WAIVER PACKET copy.pdf
- Child Health Exam final 11_15 copy.pdf
- EarlyChildhoodHealthRequirements.pdf
- FastTrackClinicFlyer_C copy.pdf
- MinimumHealthRequirements_English 20-21 SY_1_.pdf
- MinimumHealthRequirements_Spanish 20-21 SY.pdf
- ProofDentalExam 20-21 SY.pdf
- School based Dental Consent - Spanish.pdf
- School based Dental Consent -English.pdf
- School based Vision Consent English.pdf
- School based Vision Consent Spanish.pdf
- Student_Medical_Form_English_2020-2021.pdf
- Student_Medical_Form_Spanish_2020-2021.pdf
- VisionExaminationForm 20-21 SY.pdf
Specialized Medical Issue Packets
All students with specialized medical issues, whether they take medication at school or not, are encouraged to have forms completed by their doctor on a yearly basis, so the school may remain up to date with their medical status should complications arise.
Students who take medication during school hours must have forms specific to their medical issue completed yearly and may qualify for a 504 plan to address and accommodations they may require.
Students who have a medical condition that is treated with medication at home are encouraged to have the Miscellaneous Medical Issue with No Medication Required in School completed by their doctor and turn it in to the school nurse. This is encouraged because medications students take at home can at times affect their functioning in the classroom.
HOMEBOUND PACKET
This is utilized for students who will be out of school due to a complicating medical issue/surgery for more than 2 weeks time and students may be eligible for the INTERMITTENT HOMEBOUND who have a medical condition that causes excessive absences sporadically throughout the year.
The form must be completed by the students MD and must be renewed at least every 3 months.
Approval for the program is dependent on school nurse approval after speaking with the students physician and consulting on the student's present medical status and plan of care to assist in returning the student to school.
MISCELLANEOUS MEDICAL PACKET
This is utilized for any medical issues not mentioned specifically in the other packets provided. It may be utilized for such issues as Migraines, GI issues, Mental health concerns, ADHD, Hypoglycemia, etc.
If the student requires medication during school each medication taken requires a medication self-administration form to be completed by the doctor. If the dose of the medication changes New orders from the doctor must be completed and turned into the school.
Parents must complete parental permission to self-administer/have medication administered to student form provided in each packet.
Medication must come to the school in the appropriately labeled container that matches the physicians order.
Inhalers and medications used for allergies are kept with the student at all times all other medications are kept in the nurses office.
• Extra Miscellaneous Medical Report: This is an additional blank physicians report if your child has more than one major medical issue that requires addressing that may need to be added to one of the other packets.
• Extra Physician Food Substitution: This form would be used if you required a new or additional form than the form provided in the allergy packet.
PREGNANCY PACKET
All girls who are pregnant and give birth during the school year are entitled to 6 weeks of homebound services starting the day of delivery during regularly scheduled school attendance dates. Instruction will be provided for 1 hour at the students home by a teacher and the student will receive credit for 1/2 day attendance.
All pregnant students must provide medical clearance from their doctor that they are healthy to be attending school, any limitations they may have due to their pregnancy and their expected due date.
Girls should have the homebound form completed by their doctor at their early appointments and returned to the school nurse for approval so that if complication arise or when delivery occurs services may be provided promptly.
The homebound services are provided for 6 weeks from the date of delivery only. It is imperative that the student or family member notify the Homebound Coordinator at Smyser, immediately upon delivery so services may be delivered promptly. Homebound services will not be compensated when there is late notification made to the school of delivery or if no homebound medical referral was ever returned to the school nurse for approval.
Students who take medication during school hours must have forms specific to their medical issue completed yearly and may qualify for a 504 plan to address and accommodations they may require.
Students who have a medical condition that is treated with medication at home are encouraged to have the Miscellaneous Medical Issue with No Medication Required in School completed by their doctor and turn it in to the school nurse. This is encouraged because medications students take at home can at times affect their functioning in the classroom.
HOMEBOUND PACKET
This is utilized for students who will be out of school due to a complicating medical issue/surgery for more than 2 weeks time and students may be eligible for the INTERMITTENT HOMEBOUND who have a medical condition that causes excessive absences sporadically throughout the year.
The form must be completed by the students MD and must be renewed at least every 3 months.
Approval for the program is dependent on school nurse approval after speaking with the students physician and consulting on the student's present medical status and plan of care to assist in returning the student to school.
MISCELLANEOUS MEDICAL PACKET
This is utilized for any medical issues not mentioned specifically in the other packets provided. It may be utilized for such issues as Migraines, GI issues, Mental health concerns, ADHD, Hypoglycemia, etc.
If the student requires medication during school each medication taken requires a medication self-administration form to be completed by the doctor. If the dose of the medication changes New orders from the doctor must be completed and turned into the school.
Parents must complete parental permission to self-administer/have medication administered to student form provided in each packet.
Medication must come to the school in the appropriately labeled container that matches the physicians order.
Inhalers and medications used for allergies are kept with the student at all times all other medications are kept in the nurses office.
• Extra Miscellaneous Medical Report: This is an additional blank physicians report if your child has more than one major medical issue that requires addressing that may need to be added to one of the other packets.
• Extra Physician Food Substitution: This form would be used if you required a new or additional form than the form provided in the allergy packet.
PREGNANCY PACKET
All girls who are pregnant and give birth during the school year are entitled to 6 weeks of homebound services starting the day of delivery during regularly scheduled school attendance dates. Instruction will be provided for 1 hour at the students home by a teacher and the student will receive credit for 1/2 day attendance.
All pregnant students must provide medical clearance from their doctor that they are healthy to be attending school, any limitations they may have due to their pregnancy and their expected due date.
Girls should have the homebound form completed by their doctor at their early appointments and returned to the school nurse for approval so that if complication arise or when delivery occurs services may be provided promptly.
The homebound services are provided for 6 weeks from the date of delivery only. It is imperative that the student or family member notify the Homebound Coordinator at Smyser, immediately upon delivery so services may be delivered promptly. Homebound services will not be compensated when there is late notification made to the school of delivery or if no homebound medical referral was ever returned to the school nurse for approval.
Files:
- ALLERGY and ASTHMA PACKET17 copy.pdf
- ALLERGY PACKET17 copy.pdf
- ASTHMA PACKET17 copy.pdf
- CARDIAC COND PACKET17 copy.pdf
- CONCUSSION PHYSICIAN REPORT copy.pdf
- DIABETES PACKET17 copy.pdf
- diabetic_monitoring_log_.pdf
- EXTRA MISC_ MED COND FORM copy.pdf
- EXTRA Physician food substitution FORM copy.pdf
- Free Vision clinic at Princeton Walk-In Flyer 2012 _1_ copy.pdf
- headachediary.pdf
- Health Care Resources copy.docx
- Homebound Referral_Adjustment_of_Educational_Program__Revised_1-2019_ copy.pdf
- MISC_ MED COND _MEDS IN SCHOOL_ PACKET17 copy 2.pdf
- MISC_ MED COND _NO MEDS IN SCHOOL_ PACKET17 copy.pdf
- Neighborhood clinics with sliding scale fees.pdf
- Physician orders for skilled nursing procedure copy.pdf
- PREGNANCY PACKET copy.pdf
- PT_OT Physician Referral 8_2015.pdf
- Release of information Phone _ fax English _Spanish copy.pdf
- Respritory Dysfunction Physician_s report copy.pdf
- SEIZURE PACKET17 copy.pdf
- seizure_observation_recording.pdf
- vision_report_for_student_with_visual_impairment.pdf
COVID 19 Resources:
*CPS Frequently Asked Questions:
https://docs.google.com/document/d/1bcdJqaYc-yRGDU0VZf2SJY4R_4So32SAgP0HCNepf5U/preview
*CDC Website:
https://www.cdc.gov/coronavirus/2019-ncov/index.html
*City of Chicago and Chicago Dept of Public Health Website: https://www.chicago.gov/city/en/sites/covid-19/home.html
*Illinois Department of Public Health Website:
https://www.dph.illinois.gov/
https://docs.google.com/document/d/1bcdJqaYc-yRGDU0VZf2SJY4R_4So32SAgP0HCNepf5U/preview
*CDC Website:
https://www.cdc.gov/coronavirus/2019-ncov/index.html
*City of Chicago and Chicago Dept of Public Health Website: https://www.chicago.gov/city/en/sites/covid-19/home.html
*Illinois Department of Public Health Website:
https://www.dph.illinois.gov/
Files:
- 2019-2020 IDPH Minimum Immunization Requirements and appropriate vaccine spacing.pdf
- A New Understanding of ADHD in Children and Adults.docx
- ADHD Information_Support Resources.docx
- Children and Family Benefits Unit Information.pdf
- CPS Approved Snack List copy.pdf
- FastTrackClinicFlyer_C copy.pdf
- Free Vision clinic at Princeton Walk-In Flyer 2012 _1_ copy.pdf
- HEADACHEDIARY copy.pdf
- Health Care Resources copy.docx
- Health Centers Locations with family and behavioral health services copy.pdf
- Lice Head Check Direcetions English_Spanish copy.pdf
- Online Resources for Parents for Miscellaneous Health Issues.docx
-
2020/2021 Minimum Health Requirements for School (English / Spanish)
-
Health Insurance and SNAP/Food Stamps Enrollment Information (English / Spanish)
-
Dental Exam Consent (Participating Schools only) (English / Spanish)
-
Healthcare Provider Statement for Food Substitution Form (English / Spanish)
-
Request for Emergency and Health Information (English / Spanish / Polish)
-
Family Income and Information Form (English/Spanish)