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Health Form Requirements


Preschool 3 

Preschool 4


Kindergarten


Grade 1



Grade 2


Grade 3


Grade 4


 

Grade 5



Grade 6

  • Medical Concerns Form

 

 

Grade 7

Grade 8

 

 

Additional Health Forms Required for Medical Concerns (when applicable)

Medications:

  • Medication Authorization Form (every student taking ANY kind of medication needs this.  1 form per medication)
  • Please Note: All asthma inhalers must be accompanied with a spacer.

Asthma:

Food Allergies:

Bee Sting Allergies:

Immaculate Conception Grade School 132 Arthur • Elmhurst, Illinois
Phone (630) 530-3490 • Fax (630) 530-9787
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