Medical Information and Forms

Medical

 

Medical/Health Information

Mrs. Kenis Johnson, R.N., is our district-wide nurse.  Her main office is located at C.R. Hanna Elementary School, 900 14th Avenue, Orion, Illinois.  She may be reached at (309) 526-3386.  Physician offices may also fax her at (309) 526-3864.  Mrs. Johnson also assists the district with CPR/AED training and other health related issues.

Click here for Physical Examination and Immunization Information

 

District Immunization Summary

The District is required to annually complete a District Immunization Summary and submit the report to the Illinois State Board of Education.

Please click here to view District Immunization Summary

 

Forms

Click here for Non-Prescription Over-The-Counter Authorization Form

Click here for Student Medical Authorization Form

Click here for State of Illinois Dental Examination Form

Click here for Sport Physical Form

Click here for State of Illinois Certificate of Child Health Examination Form

Click here for State of Illinois Eye Examination Report

Click here for Authorization To Provide Diabetes Care Form

Click here for Asthma Inhalers or EpiPen Form

Click here for Asthma Action Plan Form

Click here for Illinois Food Allergy Emergency Action Plan and Treatment Authorization Form

Click here for Illinois Certificate of Religious Exemption to Required Immunizations and/or Examinations Form