Health Services

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

District 64 COVID-19 page with the dashboard, COVID guidelines, and more

Local testing sites for COVID testing

Parent Guidelines on when to keep your child home, how to report illness, and guidelines for return to school

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:
Andrea Zito, R.N. 
Facilitator of School Health Services & Certified School Nurse
847-318-5439

Schools:

• Carpenter School - Laura Daehler, RN and Grace Chan, 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 - Bernadette Hoffman, RN   847-318-4236
• Washington School - Denise Tully, RN   847-318-4361
• Emerson Middle School - Julie Niemiec, RN, PEL-CSN 847-318-8115
• Lincoln Middle School - Rachel Ossmo, RN 847-318-4219

Fall 2022 Illness Parent Letter: Information regarding illness and RSV

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 Forms can now be uploaded into Powerschool!

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.  Click on this and you can attach any required health forms for your child (physical, vision, dental forms, allergy plans, asthma plans, seizure plans, etc.). Please make sure that the name of the file you're uploading include's your student's name and what type of form is being uploaded (ex. Suziephysicalform, Suzievisionform, Suziedentalform, etc.)

Health Requirements for Kindergarten in 2022-23

• Welcome letter for KINDERGARTEN from District Nurse
• IL Dept. of Human Services Certificate of Child Health Examination (due by October 15 - must be dated after 8/24/2021).
• State of Illinois Eye Examination Report (due by October 15 - must be dated after 8/24/2021) or Waiver of Eye Examination Requirement Form
• IL Dept. of Public Health School Dental Examination Form (due by May 15 - must be dated after 11/15/2021) or Waiver of Dental Requirement Form
• Local medical and dental resources

Health Requirements for New Students in 2022-23 

• Welcome letter for NEW STUDENTS from District Nurse
• IL Dept. of Human Services Certificate of Child Health Examination (due by October 15 or 30 days from enrollment - must be dated after 8/24/2021) if new to Illinois. 
• State of Illinois Eye Examination Report (New Students Entering an IL school for the first time only - due by October 15 or 30 days from enrollment - must be dated after 8/24/2021) 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 - must be dated after 11/15/2021) or Waiver of Dental Requirement Form
• Local medical and dental resources

Health Requirements for Second Grade in 2022-23

• IL Dept. of Public Health School Dental Examination Form (due by May 15- must be dated after 11/15/2021) or Waiver of Dental Requirement Form

Health Requirements for Entering Sixth Grade in 2022-23

• Letter to Current 5th Grade Parents from District Nurse
• IL Dept. of Human Services Certificate of Child Health Examination (due by October 15 - must be dated after 8/24/2021).
• IL Dept. of Public Health School Dental Examination Form (due by May 15 - must be dated after 11/15/2021) or Waiver of Dental Requirement Form
• Local medical and dental resources list
• Middle School Interscholastic Athletic Physical/Permission Packet (due by start of the school year or before tryouts for the specific activity, cannot be more than 395 days old)

Health Requirements for Early Childhood Preschool and Speech Therapy Programs in 2022-23

• Letter to Parents of Early Childhood Preschool and Speech Program Students
• IL Dept. of Human Services Certificate of Child Health Examination (due by October 15 or 30 days from enrollment)
• 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)
• Action Plans - must be filled out by healthcare provider and signed by parent
  • Allergy Action Plan
  • Asthma Action Plan
  • Seizure Action Plan
• Diabetes Forms
  • 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)
• Camp Duncan
  • Camp Duncan Medication Authorization Form
  • Camp Duncan Health Information Form
  • Camp Duncan Letter to Parents
• Concussions
  • Concussion Return to Learn Protocol Form (Concussion Care Plan)
  • Concussion Return to Play Protocol Form

For information about emergency medication to treat allergic reactions at school, please refer to Chapter 5 of 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 (2022-23) District Immunization Summary for Park Ridge CCSD 64 from the Illinois State Board of Education.