Health Services
Health requirements and forms can be found at the bottom of this page.
We invite you to join our efforts to provide a safe and healthy learning environment for all District 64 students!
Visit the companion District 64 web page: Health & Safety Tips, including specific disease information, school health announcements, nutrition and fitness, and health promotion.
Health Services
"School Health Services"
Read the Student-Parent Handbook - School Health Services for complete information on our department.
Health Contacts
District:
Andrea Zito, RN, PEL-CSN
Facilitator of School Health Services & Certified School Nurse
847-318-5439
School Nurses:
- Carpenter School - Nicole Thomas, RN 847-318-4371
- Field School - Julie Rudd, RN 847-318-4386
- Franklin School - Queta Karstens, RN 847-318-4391
- Jefferson School - Kelly Defelice, RN 847-318-5441
- Roosevelt School - Kristin Krizman, RN 847-318-4236
- Washington School - Jessica Achtstatter, RN 847-318-4361
- Emerson Middle School - Julie Niemiec, RN, PEL-CSN 847-318-8115
- Lincoln Middle School - Rachel Ossmo, RN 847-318-4219
Health Assistants:
-
Roosevelt - Sneza Cenich, CNA 847-318-4398
It is strongly recommended to get tested for Influenza/COVID/RSV/Pertussis when exhibiting symptoms so the healthcare provider can provide specific medical advice depending on the test results.
Students/staff should stay home and away from others (including people in the household who are not sick) if there are respiratory virus symptoms that aren't better explained by another cause. This could be shorter or longer than five days. These symptoms can include fever, chills, fatigue, cough, runny nose, and headache, among others.*
*Symptoms may include but are not limited to chest discomfort, chills, cough, decrease in appetite, diarrhea, fatigue (tiredness), fever or feeling feverish, headache, muscle or body aches, new loss of taste or smell, runny or stuffy nose, sneezing, sore throat, vomiting, weakness, wheezing.
People should stay home and away from others until at least 24 hours after:
- Symptoms have improved
- Free of fever/vomiting/diarrhea for 24 hours without the use of any medication
We recommend added precautions over the next 5 days which include:
- practice good hygiene (cover coughs and sneezes, handwash with soap/sanitize hands often, clean frequently touched surfaces)
- wearing a mask
- physical distancing
- testing when planning to be around other people indoors
- taking steps for cleaner air (open windows, use air purifiers, gather outdoors)
Keep in mind that individuals may still be able to spread the virus that made them sick, even if they’re feeling better. They are likely to be less contagious at this time, depending on factors like how long they were sick or how sick they were.
If the individual starts to develop a fever or start to feel worse after they’ve returned to school, stay home and away from others again until again for at least 24 hours, symptoms are improving overall and they’ve been 24 hours fever free without the use of medication.
Anyone exposed to a known case of COVID is requested/recommended to wear a mask for 10 days following last exposure.
These illnesses can seem very similar and it an be difficult to know the difference. Consider this chart as a guide to help identify what symptoms may pertain to what illnesses.
Fall 2024 Illness Parent Letter: Information regarding Pneumonia, Pertussis, Flu, and illness reminders
10/24/24 IDPH Meningococcal and Flu Vaccination Information Materials
Group A Strep Parent Letter: 2/28/23 - Information regarding Group A Strep infections and health office reminders
Health Forms for Registration
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Immunization Guide for all grades PreK-12 (PDF of chart)
See Health and Safety Tips for informational resources about Childhood Immunizations.
Health Forms must be uploaded into Powerschool!
NOTE: File formats accepted are: .PDF, .RTF, .DOC, .DOCX, .PNG, .JPG, and .JPEG. All other file types are disallowed by the upload service. Files must be less than 5MB in size.
Please do not use any special characters in filenames (commas, slashes, asterisks, apostrophes, etc). We are unable to open files that have special characters.
Step 1: Make sure that the name of the file you're uploading includes your student's name and what type of form is being uploaded ex. Suziephysical25, Suziedental25, Suzievision25, etc. Forms that were not named something identifable will be rejected.
Step 2: When in Powerschool, choose your student's name at the top, on the left hand side click on forms, under general forms, you will see Health Office Document Submission 2025-2026.
Step 3: Click on Health Office Document Submission 2025-2026, click the blue add document button to attach the appropriate form.
Step 4: Check the box to choose which type of form you are uploading (physical exam, vision exam, dental exam, allergy action plan, asthma action plan, seizure action plan, etc.)
Step 5: Click to submit for approval.
You will get an email when the form has been reviewed and accepted or if it has been denied. If denied, the email will include the reason for the denial and what needs to be corrected on the form. Please correct the errors/missing information, and follow the steps above to re-submit the corrected form for approval.
If you are having trouble uploading forms, please review this Troubleshooting Document to assist you with successfully uploading forms for review.
Health Requirements for Kindergarten in 2025-26
- Welcome letter for KINDERGARTEN from District Nurse
- IL Dept. of Human Services Certificate of Child Health Examination (due by 3 pm on October 14 - must be dated after 8/21/2024)
- Make sure to fully complete, sign and date the health history section at the top of the first page
- Lead Risk Assessment Questionnaire (for students 6 months-6 years old. Should be administered by your pediatrician during physical examination).
- Anyone living in Park Ridge (60068) or Niles (60714) is required to have a blood test since they are high risk zip codes.
- State of Illinois Eye Examination Report (due by 3 pm on October 14- must be dated after 8/21/2024) or Waiver of Eye Examination Requirement Form
- IL Dept. of Public Health School Dental Examination Form (due by May 15, 2026 - must be dated after 11/15/2024) or Waiver of Dental Requirement Form
- Local medical and dental resources
Health Requirements for New Students in 2025-26
- Welcome letter for NEW STUDENTS from District Nurse
- IL Dept. of Human Services Certificate of Child Health Examination (due by 3 pm on October 14 or 30 days from enrollment - must be dated after 8/21/24) if new to Illinois.
- Make sure to fully complete, sign and date the health history section at the top of the first page
- Lead Risk Assessment Questionnaire (for students 6 months-6 years old. Should be administered by your pediatrician during physical examination).
- Anyone under 6 years old living in Park Ridge (60068) or Niles (60714) is required to have a blood test
- State of Illinois Eye Examination Report (New Students Entering an IL school for the first time only - due by 3 pm on October 14 or 30 days from enrollment - must be dated after 8/21/2024) or Waiver of Eye Examination Requirement Form
- IL Dept. of Public Health School Dental Examination Form (for students in K, 2, or 6 only, due by May 15, 2026 - must be dated after 11/15/2024) or Waiver of Dental Requirement Form
- Local medical and dental resources
Health Requirements for Second Grade in 2025-26
- IL Dept. of Public Health School Dental Examination Form (due by May 15, 2026- must be dated after 11/15/2024) or Waiver of Dental Requirement Form
Health Requirements for Entering Sixth Grade in 2025-26
- Letter to Current 5th Grade Parents from District Nurse
- IL Dept. of Human Services Certificate of Child Health Examination (due by 3 pm on October 14- must be dated after 8/21/2024).
- Make sure to fully complete, sign and date the health history section at the top of the first page
- IL Dept. of Public Health School Dental Examination Form (due by May 15, 2026- must be dated after 11/15/2024) or Waiver of Dental Requirement Form
- Local medical and dental resources list
Health Requirements for Early Childhood Preschool and Speech Therapy Programs in 2025-26
- Letter to Parents of Early Childhood Preschool and Speech Program Students
- IL Dept. of Human Services Certificate of Child Health Examination (due by 3 pm on October 14 or 30 days from enrollment)
- Make sure to fully complete, sign and date the health history section at the top of the first page
- Lead Risk Assessment Questionnaire (for students 6 months-6 years old. Should be administered by your pediatrician during physical examination.)
- 60714 (Niles) and 60068 (Park Ridge) are on the high risk zip code list. Any students attending Jefferson School must have a blood test.
- Local medical and dental resources
Other Health Forms
- Illinois Department of Public Health Eye Examination Report Form (if referred by school screening program)
- Medication Authorization Form - must be filled out by healthcare provider and parent for each medication to be administered at school
- Lead Risk Assessment Questionnaire (for students 6 months-6 years old. Should be administered by your pediatrician during physical examination)
- Park Ridge (60068) and Niles (60714) are on the high risk zip code list. All students must have record of a blood test before entering pre-k or kindergarten.
- IL Physical Exam Form (Spanish)
- IL Physical Exam Form - Parent Health History
- Action Plans - must be filled out by healthcare provider and signed by parent
- Allergy Action Plan (Asthma & Allergy Foundation of America - recommended to use) - New May 2025
- Allergy Action Plan (FARE form) - Updated April 2025
- American Lung Association Asthma Action Plan
- Seizure Action Plan
- Diabetes Forms
- Camp Duncan
- Concussions
For information about emergency medication to treat allergic reactions at school, please refer to School Health Services in the Student/Parent Handbook.
For development of Individual Healthcare Plans or discuss other medical concerns, please contact your school health office.
Required Reports
As required by Section 27-8.1 of the Illinois School Code, view the annual (2024-25) District Immunization Summary for Park Ridge CCSD 64 from the Illinois State Board of Education.
This site provides information using PDF, visit this link to download the Adobe Acrobat Reader DC software.