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Click here to print a copy of the Medication Request form


State law requires school physicals and up-to-date immunizations before:

       Entering school for the first time

       Entering kindergarten

       Entering fifth grade

       Transferring from an out-of-state school

       If transferring into Whiteside School from another Illinois school, copies of records with up-to-date physicals and immunizations are required.   All transfer students have 30 days to meet State requirements. 

Exam forms are given out at registration or from the nurse's or administrative offices.  A physician must sign the form. 


State law requires the following immunizations for school attendance: 

       Diphtheria, pertussis, tetanus (DPT) - Four shots are needed for early childhood, prekindergarten, and kindergarten.  Upon entering kindergarten, the last shot must be given on or after the fourth birthday.  If the child first enters or transfers into school in the first grade or higher grade level, three shots are accepted.

       Polio - A minimum of three doses are needed.  The last dose must be given on or after the fourth birthday.

       Measles, mumps, and rubella - These may be given singly or in combination as MMR.   Two doses of live measles or the combination MMR vaccine are needed for kindergarten or older.  If given singly with the live measles vaccines, one dose of mumps and rubella are also needed.  Measles, mumps and rubella vaccines must be given at 12 months of age or older.  (For preschool, one MMR is sufficient.)

       Hepatitis B series - Three shots are needed for preschool, 5th, 6th, 7th, and 8th grade.

       H. Influenza type B (HIB) - The appropriate number as required by the Illinois State Board of Education are needed for prekindergarten or early childhood students less than five years old.  This varies according to the type of vaccine used.

       Lead Screening - Required for children through age six.

Dental exams and TB tests are important and highly recommended.   Drug-resistant strains of TB are on the increase, so please insist that your child receive a TB test. 

The physician should conduct lead screenings for children through age six. 


All fourth-grade students will need to have the three hepatitis B vaccines before entering fifth grade.  It takes six months to complete the series.  If you plan to get the vaccines from your doctor and your child is in the fourth grade, please make the first appointment now.  This will assure that your child will complete the series before entering fifth grade. 


Each year, certain grade levels are screened according to State guidelines.  If parents have concerns regarding their child's vision or hearing, they may request that the child be tested at anytime during the school year.  This will be done by the school nurse at no charge. 


Students should never have prescription or non-prescription medication in their possession.

Medication will be given during school hours according to the Illinois School Code only when it is needed for the health or well being of the student. 

It is best to try to work out times with your doctor so the medication may be given at home.  For example, a medicine needed three times a day might be given right before and after school and at bedtime. 

If your child must be given a prescription or non-prescription medicine at school, the parent(s) must complete the following steps: 

  1. A written order for either prescription or non-prescription medication must be signed by the doctor or dentist and delivered to school.
  2. The parent must complete a request to give the medicine to their child.  (See medication request form attached.)
  3. Prescription medication must be in a container labeled by a pharmacist with the child's name, medication's name, dosage and directions on the label.
  4. Non-prescription medicine must be brought in the original package with the ingredients listed and the child's name on it.
  5. Use of inhalers requires a spaced tube or device.  Please put both of these in a bag with the child's name on each item and the bag. 

The parents are asked to bring the medication and forms to school.  The parents should pick up any unused medicine at the end of treatment.  Medication not picked up after treatment will be discarded. 

NOTE:  If your child must take medication at school, please fill out the Medication Request Form.  Please have your child's doctor complete the information.

Prescription medications need to be in a container labeled by a pharmacist with the child's name, medication's name, dosage, and directions on the label. 

Non-prescription medicine must be in the original container with the ingredients listed and the child's name on it. 

Please print/copy the Medication Request Form as needed or contact the Nurse's Office for a copy at 233-7917, extension 311.


Please report to the school's nurse or principal within 24 hours any accidents or injuries received while taking part in the school program or going to or from school.  Please give information about details leading to the accident.  Please give names of witnesses to the accident. 


Be certain that your child knows to report any illness or accident to his/her teacher or an adult supervisor.  The school nurse will be notified for care of your child. 

If further treatment is needed, the parent or person listed on the medical and emergency information form will be notified.  If no one listed on the emergency form is available, the decision for care will be made in the best interest of the child. 

The local emergency medical system (911) will be called if the child needs to be taken to the hospital immediately. 

The family will be responsible for the ambulance and hospital charges.  Student accident insurance is available to help with these costs or the costs associated with any school-related injuries.  Parents are responsible for this type of coverage.  See school insurance information below. 

A Medical and Emergency Information form must be completed upon enrollment each year (one per child).  This is kept on file in the nurse's office. 

Please let the school know of any changes in your phone numbers or other emergency and health information.  IT IS EXTREMELY IMPORTANT THAT WE ALWAYS HAVE AT LEAST TWO WORKING EMERGENCY NUMBERS.   HOSPITALS CAN REFUSE CARE AWAITING PARENTAL APPROVAL. 


If your child has a fever, please keep him/her at home.   The child may return to school once fever free for 24 hours.   Your child should also stay at home when he/she has:




       Unexplained Rash

       Continuous coughing or sneezing

       Any other contagious condition 

He/she may return to school once:

       Fever free for 24 hours

       The type rash is known

       Any contagious condition is treated, if needed

       The child feels better 

Please notify the school's nurse when your child has a contagious disease such as strep throat, chickenpox, or pink eye.  Sick children with contagious diseases or a fever will be sent home. 


The school makes available an inexpensive "Student Accident Insurance" plan.  The policy provides coverage for the students while engaged in school activities, being transported to and from school, or participating on a school-sponsored field trip.  Application envelopes for school insurance are available from the nurse's office the first week of school and throughout the school year. 


Please notify the school's nurse if your child or family has head lice.  Head lice can be distressing, but can occur in the cleanest families.  They must be treated and your child must be nit free and checked by the school nurse before returning to class.  Remind your child not to share combs, brushes, and clothing or head wear such as caps or helmets.


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