Health Office

District Nurse

Bria Spiniolas

Phone: (815) 648-2442 ext. 1522



State of Illinois Health Requirements

Easy to Read Child Health Requirement Chart by Grade

Illinois Department of Public Health Immunization Chart

Immunization Guide 0-6 yrs   

   Immunization Guide 7-18yrs



Illinois Physical Form English

Illinois Physical Form Espanol

Illinois Dental Exam Form (English/Español)

Illinois Dental Waiver Form (English/Español)

Illinois Eye Examination

Estado de Illinois Informe del Examen de los Ojos

Illinois Eye Exam Waiver (English/Español)

Immunization Waiver Form (English/Español)

Medical Summary Form/Resumen Médico


Food Allergies

Procedures for Managing Life-Threatening Food Allergies in School

Emergency Protocols

Asthma Emergency Response Protocol

Food Allergy Emergency Response Protocol

Asthma Action Plan

Heads Up to Concussions

Administration of Medication

Physician Request For Self-Administration of Medication

Autorización y Permiso para la Administración de Medicamentos

Community Health Resources

McHenry County Health Department

McHenry Community Health Center

Harvard Area Community Health Center

Family Health Partnership Clinic 

Aunt Martha’s Health Center