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
Travel Guidelines for District 64 families
Parent Guidelines on when to keep your child home, how to report illness, and guidelines for return to school
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:
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
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 Registration for 2022-23 (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 (due by October 15)
- IL Dept. of Public Health School Dental Examination Form (due by May 15)
- 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 - due by October 15)
- Waiver of Eye Examination Requirement Form
Health Requirements for Second Grade in 2022-23
- IL Dept. of Public Health School Dental Examination Form (due by May 15) 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
- IL Dept. of Public Health School Dental Examination Form or 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 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)
- 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
- 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. 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 (2021-22) 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.