MHS Health Clinic
MHS Health Clinic Staff
Amber Hoogheem BSN RN
Kelli Avila BSN RN
Missy Rhea, health clerk
Email: [email protected]
All incoming 9th graders are required to have:
- Illinois State Physical-completed physical on the mandated Illinois state form. (the parent portion must be completed, signed and dated)
- Immunizations proof of up-to-date immunizations as mandated by the state of Illinois or an Illinois Certificate of Religious Objection signed by a physician.
- Dental Exam
Students New to the District
Students entering from out of state are required to have:
- A physical examination, on the state mandated form, completed by a physician within 30 days of registration. (the parent portion must be completed, signed and dated)
- Up to date Immunizations within 30 days of registration
- Eye exam
- Dental Exam for 9th grade students only. This must be completed and turned in by May 15.
Medication Administration Requirements at School
The administration of medicine is normally not a function of education, but if it does become necessary for a student to take medicine at school, the State of Illinois mandates that the following guidelines be followed:
- Provide the building principal or nurse with the district medication form completed, signed and dated by the physician and the parent/guardian for prescription medication.
- Non-prescription medication such as pain relievers, anti-inflammatories, antacids, antihistamines, and cough syrup/drops do not require a physician’s signature but all other information relative to the medication must be completed and signed by the parent/guardian. **It remains the discretion of school officials, including the school nurse, which items may be administered without a physician’s signature.
- Medication must be delivered to the nurse’s office by the parent/guardian, unless prior arrangements have been made to independently carry an inhaler or epi-pen
- School policy prohibits students from having in their possession prescription or nonprescription medication other than inhalers or epi-pens which have been pre-approved by the nurse.
- Medication ordered by an MD must be delivered to the nurse in the prescription bottle with the pharmacy label indicating directions for administration.
- Non-prescription medication must be in the original container and administered according to label directions.
- Notification should be received when a drug is discontinued or a change in dosage or interval occurs.
- Medication guidelines must be renewed annually
Community Resource Hyperlinks
Health Forms Hyperlinks
- Physical Examination Form
- Formulario de examen físico (en español)
- Health Requirements Letter
- Carta de Requerimiento de Salud (en español)
- Carta de requisitos sanitarios (en español)
- Medication Administration Form
- Formulario de medicamentos (en español)
- Self-Administration Form for Epi-Pens and/or Inhalers; Formulario de Autoadministración de EpiPen y/o Inhalador
- Eye Exam Form (formulario de examen de la vista)
- Eye Exam Waiver (exención de examen de la vista)
- Dental Exam Form
- Dental Exam Waiver Form
- Dental Exam Form (Spanish)
- Dental Exam Waiver (Spanish)
Individual Health Care Plans Hyperlinks