![]() ![]() Please submit this form along with the Illinois Child Health Examination Form before October 15th to avoid school exclusion. Should the medical condition of the child later indicate that immunization is no longer contraindicated to the health of the child, the immunization requirements will then have to be met. The reason why they are medically contraindicated.A list of vaccines that are medically contraindicated.If your student has a medical contraindication for any of the required Illinois State vaccines, please have your health care provider write a letter stating the following: Illinois General Assembly Administrative Code - Section 665.510 Religious Objection Medical Exemption ![]() Illinois Certificate of Religious Exemption Form If you are requesting a religious exemption from any of the Illinois State required vaccinations, the Illinois Certificate of Religious Exemption form must be completed and signed by a physician. Suicide and Depression Awareness and Prevention.Student Online Personal Protection Act (SOPPA).Safe Return to In-Person Instruction and Continuity of Services Plan.Number of Students with IEPs and 504 Plans.Number of Personnel with School Support Personnel Endorsement.Faith's Law Information and Resource Guide.Extracurricular Activities and Athletics.Employee Ethics, Code of Professional Conduct, and Conflict of Interest.Directory Information and Student Records.Consumer Coverage Disclosure Act (CCDA).Comprehensive Personal Health and Safety, Comprehensive Sexual Health Education. ![]()
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