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Health Requirements

This page details CPS health requirements, recommendations, and forms to facilitate families’ access to reliable information and to the basic health care all students need to thrive in school.

Read through this page carefully for information about CPS health requirements, services, and forms. To view the information as a complete document, open the Student Health & School Forms Booklet linked below. For questions about Illinois student health requirements, please contact your school's main office.

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View Booklet - Spanish

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Student Health and School Forms

Parents must return all forms to school clerks.

Forms All Parents Must Complete

Student Medical Information 2022-23 [ ENGLISH | SPANISH
Request for Emergency and Health Information [ ENGLISH | SPANISH
School Messaging Consent Form (Robo Call) [ ENGLISH | SPANISH
Media Consent Form and Release [ ENGLISH | SPANISH
Family Income Information Forms [ ENGLISH | SPANISH

Forms Parents Must Complete For Student Dental and/or Vision Services

Dental Examination Consent Form [ ENGLISH | SPANISH
Vision Examination Consent Form [ ENGLISH | SPANISH

Forms Medical Provider Must Complete and Parent Must Return to School Clerks

Proof of Dental Examination Form [ ENGLISH | SPANISH
Vision Examination Report [ ENGLISH | SPANISH
Asthma Action Plan [ ENGLISH | SPANISH
Healthcare Provider Statement for Food Substitution [ ENGLISH | SPANISH
State of Illinois Child Health Examination Form [ ENGLISH 

Health Guidance

In addition to submitting the required health forms, please view our health notices to learn more about options available to you. Each notice includes a linked document with more information.

Examination Requirements

  • Physical Examination
  • Vision Examination
  • Dental Examination

Immunization Requirements

  • Diphtheria, Pertussis (Whooping Cough) & Tetanus (DTP, DTaP & Tdap)
  • Polio
  • Measles, Mumps, and Rubella (MMR)
  • Hepatitis B
  • Varicella (Chicken Pox)
  • Haemophilus Influenzae, ype B (HIB)
  • Pneumococcal Conjugate (PCV)
  • Meningitis Conjugate (MCV4)

 

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Recommended Vaccines: HPV, Flu, and COVID-19

HPV, Flu, and COVID-19 vaccines are recommended by doctors, nurses, and respected medical and public health organizations, such as the American Cancer Society, the Centers for Disease Control and Prevention, and the Chicago Department of Public Health.

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Flu Vaccine
Protect your child from influenza every year. Getting a flu shot every year is the best opportunity to avoid this illness.

COVID-19 Vaccine
Protect your child from COVID-19. This vaccine protects people from serious illness and hospitalization from COVID-19.

HPV Vaccine
Protect your child now against cancer later in life. This vaccine series prevents six kinds of cancers.

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Vision Program: Schedule An Eye Exam

Chicago Public Schools has partnered with Illinois Eye Institute at Princeton and Tropical Optical to provide vision exams for CPS students. Seven locations throughout the city have been provided for your convenience. Review the list of vision service locations in the document linked below, or on this webpage. You may select any of the locations listed or your own healthcare provider.

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Tropical Optical Locations
Families can walk-in from 10:30 a.m. to 2:00 p.m. or call (773) 762-5662 for additional appointment hours. For children 5yr through high school.

  • 6141 West Cermak Road, Cicero, IL 60804
  • 3624 West 26th Street, Chicago, IL 60623
  • 2250 South 49th Avenue, Cicero, IL 60804
  • 3213 West 47th Place, Chicago, IL 60632
  • 2767 North Milwaukee Avenue, Chicago, IL 60647
  • 9137 South Commercial Avenue, Chicago, IL 60617

Illinois Eye Institute Locations
Families can walk-in Monday to Friday from 8:30 a.m. to 9:30 a.m. For afternoon appointments call (312) 949-7990.
Ages 3 through high school.

  • Lewenson Center, 3241 South Michigan Avenue, Chicago, IL 60616

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For Students with Asthma

Asthma is the most common chronic illness of childhood. Chicago has an especially high number of children with asthma, and children in some Chicago neighborhoods suffer more than others. All students, including those with asthma, should feel safe and supported at school.

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Use the forms found in the Student Health & School Forms Booklet and on this webpage to tell your school about your child’s asthma. The school nurse or clerk may have additional forms to complete. Health forms must be updated each school year. They are reviewed by the school nurse and relevant CPS staff and kept on file for use during the school year.

You must turn in these forms each school year:

  • Asthma Action Plan — signed by a medical provider
  • Request for Administration or Self-Administration of Medication — completed by the parent/guardian and medical provider
  • Original (or clear copy) of asthma medication or pharmacy label with your child’s information

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Students in Temporary Living Situations

Every student in a temporary living situation shall have equal access to the same free and appropriate educational opportunities as students who are permanently housed. This commitment to the educational rights of students in a temporary living situation, youth, and youth not living with a parent or guardian, applies to all services, programs, and activities provided or made available by the Board of Education of the City of Chicago.

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A student is considered to be in a temporary living situation
if he or she lacks a fixed, regular, and adequate nighttime
residence and includes children and youth who are:

  • Sharing the housing of other persons due to loss of housing,
    economic hardship, or similar reason
  • Living in a motel/hotel, trailer park or camping ground, due
    to lack of alternative, adequate housing
  • Living in emergency or transitional shelters
  • Living in cars, parks, public spaces, abandoned building,
    substandard housing, bus or train station, or similar setting
  • Abandoned in hospitals
  • Migratory children living in one of the above settings
  • Youth not in the custody of a parent/guardian (unaccompanied youth) of any age, in one of the above settings

Explore Your Healthcare Options

Get covered and take advantage of available healthcare options for the upcoming school year, including accessible health insurance, COVID-19 testing, vaccinations, mental health services, and more. For more information, call the Healthy CPS Hotline at 773-553-KIDS (5437).

Learn More

Looking For a Different Form?

Find more health and safety forms used by CPS at the Health Forms for Parents and Caregivers page.

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