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

Authorization And Permission For Administration For 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