Health Services
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 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, Terry Dieschbourg, Health Assistant 847-318-5441
- Roosevelt School, Patty Lubash, RN 847-318-4236
- Washington School, Denise Tully, RN 847-318-4361
- Emerson Middle School, Paula Yurkovic, RN 847-318-8115
- Lincoln Middle School, Michelle Sutschek, Certified School Nurse/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 2018-19 (Kindergarten/New Students)
- 2018-19 Welcome letter for KINDERGARTEN from District Nurse
- 2018-19 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 2018-19
- 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 2018-19
Other Health Forms
- State of IL Vision Examination Report Form
- Medication Authorization Form
- Dental Examination Form
- Waiver of Dental Requirement Form
- Middle School Interscholastic Athletic Physical/Permission Packet 2018-19
- 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 Care 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.
Required Reports
As required by Section 27-8.1 of the Illinois School Code, view the annual (2018) District Immunization Summary for Park Ridge CCSD 64 from the Illinois State Board of Education.
