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HOMESCHOOLERS
PLEASE DO NOT USE THESE FORMS. GO TO
THE HOMESCHOOL WEBSITE AT
www.homeschools.org
2009-2010 DAYSCHOOL
FORMS:
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Medical forms:
Thank you for your
cooperation as we work toward the
accreditation that you have requested.
In accordance with accreditation
requirements, these are the forms that we
need to have completed. Please submit
them by the dates noted.
required for all students
- DUE WITH BOOK ORDER. Book orders
will not be processed without the required
Medical Card completed.
Due by the 1st day of school
- required for preschool, kindergarten,
sixth (6) grade, and ninth (9) grade
students. ALL students must have this
on file and will be required to get one if
they do not have the most up-to-date
physical exam form on file.
Due by the 1st day of school
- required for all
kindergarten, second (2) grade, and sixth
(6) grade students.
Due by the 1st day of school
- required for all
kindergarten students and new incoming
students grades 1 to 12.
Due by the 1st day of school
- required by all students who require the
administration of medication at school
either daily or on an as-needed basis (such
as inhalers, diabetic medications, EpiPens,
etc.) This form must be completed and signed
by the licensed physician who prescribes
this medication for you.
PLEASE CHECK THE
SPECIAL HEALTH CARE PLANS BELOW if your
child has one of these conditions, download
that form and take it with you to the
doctor when you go to get the medication
form authorized.
Due by the 1st day of school
- For any student who will be carrying
medication or a medical device during school
- requires a doctor's signature.
Due before the start of
practice for all grades 5 to 12
athletes participating in team sports.
For grades 6 & 9 the Child Health Exam
Certificate form (above) that your doctor
completes acts as the doctor's section.
You and your child still must complete and sign the inside
2 pages of this form; and the doctor must
complete the asthma section if your
child has asthma. PLEASE NOTE:
IF YOU THINK YOUR CHILD MAY PARTICIPATE IN A
TEAM SPORT, PLEASE TAKE THIS WITH YOU TO
YOUR HEALTH CARE PROVIDER WHEN YOU GO FOR
YOUR YEARLY PHYSICAL SO THAT IT IS COMPLETED
AND DONE.
SPECIAL HEALTH CARE
PLANS:
Due by the 1st day of school
- If your child has one of these conditions
and requires nursing care at school, please
download the form take it to the doctor for
completion.
for other in-school nursing
needs not addressed in the care plans above.
Book Order forms
Instructions are included on
each form.
New
families will receive forms upon
registration.
You may
call Mrs. Mary Horstman at 847-259-2012 with
any questions or concerns.
Supply Lists are
now included at the end of each book order.
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