Nurse's Notes

GENERAL INFORMATION FROM YOUR SCHOOL NURSE

The primary mission of the School Health Service department at Waukegan Community Unit School District #60 is to promote the health and safety of students, recognizing that healthy children are better learners. This is accomplished through a comprehensive program that includes prevention, health education, and administration of direct health care services. !!--Updated Link to District Health Services Coming Soon--!!

School Health Services, provided by a School Nurse, are available to all students at Jack Benny (JB). If you would like to discuss School Health Services related to your child's healthcare needs, please contact the school nurse.

PHYSICAL EXAM AND IMMUNIZATION REQUIREMENTS FOR MIDDLE SCHOOL STUDENTS

All students entering 6th grade must have a Physical examination by a licensed health care provider within a year of the start of 6th grade. For the Physical to be considered complete, parents must complete the Health History section of the Physical. When a student enrolls in a grade other than 6th, the entry Physical must be dated within a year of the start of their 6th grade year. The next Physical exam requirement is when a student enters 9th grade.

Child Health Examination Form (English)

Immunizations must be up to date. Included below are links to the Center for Disease Control (CDC) website for information on childhood vaccines. The schedules are for vaccines from birth to 6 years of age and for Preteens and Teens. If you have any questions about your child's immunization requirements, please contact the school nurse.

2019 Recommended Immunizations for Children from Birth Through 6 Years Old (English)

2019 Recommended Immunizations for Children from Birth Through 6 Years Old (Spanish)

If you claim a religious exemption for your child's immunizations, it must be discussed with your child's Provider. Indicate your religious exemption on the linked Certificate of Religious Exemption form and after discussing it with your child's Provider, who then signs the form, submit it to the School Nurse who will submit it to the Superintendent for approval.

Illinois Certificate of Religious Exemption

SPORTS PHYSICAL

All students participating in a sport in Middle School must submit a Sports Physical or a School Physical completed by a licensed Provider dated within 395 days of the sport in which they are to participate. The parent must complete the parent side of the Sports Physical. The Spanish version of the parent side of the Sports Physical is a separate link.

Sports Physical Form

Sports Physical Form - Spanish

DENTAL EXAM

All 6th Grade students must submit a Dental Exam dated between 11/15/16 - 5/15/18.

Illinois Dental Examination Form

EYE EXAM

An Eye Exam is required for any new student entering the Illinois school system for the first time, regardless of grade level.

State of Illinois Eye Examination Report

IF YOUR CHILD TAKES MEDICATION AT SCHOOL

If your child takes medication at school, you must obtain the Authorization of the Administration/Self-Administration of Medication form and it must be completed by your child's Provider and signed by you. All medication must be brought to school in the prescription/original bottle. Please contact the school nurse for this form.

 

IF YOUR CHILD HAS ANY CHRONIC HEALTH CONDITION, PLEASE CONTACT ME. Below are forms you may need.

  • ASTHMA: If your child is treated for Asthma please submit an Asthma Action Plan (AAP) and a Medication Administration form (see above) if your child needs a rescue inhaler at school.

Asthma Action Plan

  • DIABETES: If your child has Diabetes, your child's Provider will give you a Diabetes Management Plan (DMP) to help manage his/her Diabetes at school. Please submit the Plan along with the Diabetes supplies to the Nurse.
  • SEIZURE DISORDER: If your child has a Seizure Disorder, please submit a Seizure Action Plan completed by your child's Provider and contact me if your child needs to have rescue medication at school.

Seizure Action Plan - Epilepsy Foundation

  • LIFE THREATENING ALLERGIES: If your child has a life-threatening food allergy, please contact me.

iF YOUR CHILD HAS AN IEP OR A 504 PLAN

I will contact you prior to your child's annual meeting to update his/her health information. Should you have concerns prior to that date, please contact me.

Please contact the school nurse with any questions/concerns.

Jack Benny Middle School
1401 Montesano Avenue Room 207
Waukegan, IL 60087
224-303-2521
224-399-8525 (fax)

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