WebTitle: Child Health Examination Form - November 2015 Author: DHSHPAG Keywords: immunization, form, health, exam, examination, school, 11/15 Created Date WebIL462-1215 - Specific Level of Functioning Assessment and Physical Health Inventory (pdf) - (R-9-08) IL462-1222 - Uniform Screening and Referral Form (pdf) - (R-09-15) IL462-1238 - …
Forms - IDHS: Illinois Department of Human Services
WebCertificate of Child Health Examination Certificates of Religious Exemption to Immunizations or Physician Medical Statements of Medical Contraindication Are Reviewed and … WebState of Illinois Department of Human Services. IL 444-0183A (R-01-13) Medical Evaluation-Physician's Report Printed by Authority of the State of Illinois -0- Copies. Medical … cwoa houston
Certificate of Child Health Examination
WebOct 22, 2024 · PROOF OF SCHOOL DENTAL EXAMINATION FORM . Illinois law (Child Health Examination Code, 77 Ill. Adm. Code 665) states all children in kindergarten and the second, sixthand ninth grades of any public, private or parochial school shall have a dental examination. The examination must have taken place within 18 months prior to May 15 of … WebPrevious Qualifications for Teacher Licensure School Dental Examinations • All Illinois children in kindergarten, Grade 2, Grade 6, and Grade 9 are required to have an oral health examination. This is required for all public, private, and parochial schools. Examinations must be performed by a licensed dentist, and he/she must sign the Proof of WebTitle: Child Health Examination Form - November 2015 Author: DHSHPAG Keywords: immunization, form, health, exam, examination, school, 11/15 Created Date cwo5 results