Health Services

We invite you to join our efforts to provide a safe and healthy learning environment for all District 64 students!

NEW! Please refer to our School Health Services COVID-19 Guidance for Parents to find answers to frequently-asked questions about COVID-19, new health office procedures, when students must remain home, when they may return to school following illness or quarantine, and more!

Visit the companion District 64 web page: Health & Safety Tips, including Coronavirus information, school health announcements, nutrition and fitness, and health promotion.

Health Services

"School Health Services"
Read the Student-Parent Handbook - Chapter 5 for complete information on our department.

Health Contacts

District 64

Margaret Temari, RN, Facilitator, School Health Services & Certified School Nurse 847-318-5439

Schools

Carpenter School-Laura Daehler, RN 847-318-4371
Field School-Sheri Lavelle, RN 847-318-4386
Franklin School-Queta Karstens, RN 847-318-4391
Jefferson School-Paula Coleman, RN 847-318-5441
Roosevelt School-Patty Lubash, RN 847-318-4236
Washington School-Denise Tully, RN 847-318-4361
Emerson Middle School-Amy Goss, RN 847-318-8115
Lincoln Middle School-Theresa Zumba, RN 847-318-4219

Health Forms for Registration

Immunization Guide for all grades PreK-12 (PDF of chart)

See Health and Safety Tips for informational resources about Childhood Immunizations.

Health Requirements for Registration for 2020-21 (Kindergarten and New Transfer-In Students)

Welcome letter for KINDERGARTEN from District Nurse
Welcome letter for NEW STUDENTS from District Nurse
IL Dept. of Human Services Certificate of Child Health Examination
IL Dept. of Public Health School Dental Examination Form
Waiver of Dental Requirement Form
Local medical and dental resources
State of Illinois Eye Examination Report (Kindergarten & New Students Entering an IL school for the first time only)
Waiver of Eye Examination Requirement Form

Health Requirements for Entering Grade 6 in 2020-21

Letter to Current 5th Grade Parents from District Nurse
IL Dept. of Human Services Certificate of Child Health Examination
IL Dept. of Public Health School Dental Examination Form
Waiver of Dental Requirement Form
Local medical and dental resources list
Middle School Interscholastic Athletic Physical/Permission Packet

Health Requirements for Early Childhood Preschool and Speech Therapy Programs in 2020-21

Letter to Parents of Early Childhood Preschool and Speech Program Students
IL Dept. of Human Services Certificate of Child Health Examination
Local medical and dental resources

Other Health Forms

*New* COVID-19 Symptom Certification Form (symptom checklist used by parents on a daily basis)
Illinois Department of Public Health Eye Examination Report Form (if referred by school screening program)
Medication Authorization Form
Dental Examination Form
Waiver of Dental Requirement Form
Middle School Interscholastic Athletic Physical/Permission Packet
Allergy Action Plan
Asthma Action Plan
Diabetes Cover Letter
Parent/Guardian Authorization for Diabetic Care
Diabetic Glucose Source Authorization Form
Diabetic Glucagon Authorization Form
Diabetic Insulin Authorization Form
Diabetic Medical Management Plan (DMMP)
Lead Risk Assessment Questionnaire
Seizure Action Plan
Camp Duncan Medication Authorization Form
Camp Duncan Health Information Form
Camp Duncan Letter to Parents
Concussion Return to Learn Protocol Form (Concussion Care Plan)
Concussion Return to Play Protocol Form
Health Information Form (Download and use this form to inform health staff about a change to your child's health condition.)

For information about emergency medication to treat allergic reactions at school, please refer to Chapter 5 of the Student/Parent Handbook (see above). For development of an Allergy Action Plan, Asthma Action Plan, and Individual Healthcare Plan, please contact your school health office.