School Nurse
Nurse Contact Information
Melissa Nichols          BSN, RN           217-543-2109 x156

Health Related Examination Requirements

PreK Early Childhood
Physical Examination (On DHS State of IL Certificate of Child Health Form)
Up to Date Immunizations- including 3 doses of Hepatitis B Vaccine

Kindergarten
Physical Examination (On DHS State of IL Certificate of Child Health Form)
Proof of Lead Screening 
Dental Examination
Eye Examination (by an Optometrist or Ophthalmologist)
Up to Date Immunizations- including 2 doses of Varicella Vaccine

2nd Grade
Dental Examination

6th Grade
Physical Examination (On DHS State of IL Certificate of Child Health Form)
Dental Examination
Up to date immunizations- including 2 doses of Varicella Vaccine, 1 dose of Tdap, 1 dose of Meningococcal Vaccine (must be given on or after the 11th birthday) 

9th Grade
Physical Examination (On DHS State of IL Certificate of Child Health Form)
Up to date immunizations- including 2 doses of Varicella Vaccine
Dental Examination

12th Grade
2 doses of Meningococcal Vaccine, unless the first dose was given after 16 years of age, in which case only one dose of Meningococcal Vaccine is required.
 

 ***New Requirements from the Illinois Department of Health regarding Religious Exemptions Parents who are requesting a religious exemption to immunizations or examinations MUST submit the ILLINOIS CERTIFICATE OF RELIGIOUS EXEMPTION TO REQUIRED IMMUNIZATIONS AND/OR EXAMINATIONS FORM. The form must be signed by the child’s parents AND the child’s health care provider responsible for performing the child’s health examination. A separate form must be used for each child. This form may NOT be used for personal or philosophical reasons. Illinois law does not allow for such exemptions.

Medication Administration at school:
***If there is a need for medication during school hours (this includes prescription, non-prescription, and over the counter medications, our school district requires that the medication authorization form signed by both the parent and the child's licensed prescriber must be on file in your child’s health record
 before we begin to give any medicine at school. This form must be completed in full and renewed at the beginning of each academic year.

You or a responsible adult whom you designate should deliver medications to the school in a pharmacy or manufacturer-labeled container. Please ask your pharmacy to provide separate bottles for school and home. No more than a thirty-day supply of the medicine should be delivered to the school.


***For any student with a diagnosis of Asthma, Diabetes, Seizure Disorder, or a Severe Allergy, we must have an Emergency Action Plan on file. Please be sure it has been reviewed and signed by your child's physician and submit to the school nurse by the 1st day of school.*** School Nurse: 
Melissa Nichols, BSN, RN
Hours: 8:00am-3:30pm 
EMAIL: nicholsm@cusd305.org
Phone Number: 217-543-2109