Breese School District

Illinois law requires certain health forms and examinations for students in specific grade levels. Please submit all required forms to the Breese or Beckemeyer office.

Kindergarten:

• Illinois Certificate of Child Health Examination (Physical Exam & Updated Immunization Record):

  Health Exam Form

• Dental Examination:

  Dental Form

• Eye Examination:

  Eye Exam Form

2nd Grade:

• Dental Examination: Dental Form

6th Grade:

• Illinois Certificate of Child Health Examination (Physical Exam & Updated Immunization Record):

  Health Exam Form

• Dental Examination:

  Dental Form

5th-8th Grade Athletics:

• A sports physical is required to be on file before participating in tryouts.

  • IHSA Sports Physical Form

Students New to Illinois Schools:

Students enrolling in an Illinois school for the first time are required to submit the following forms:

• Illinois Certificate of Child Health Examination (Physical Exam & Updated Immunization Record)

• Eye Examination

Please Note:

• An updated Illinois Certificate of Child Health Examination form satisfies the sports physical requirement.

• Sports physicals do not satisfy the state-required school physical examination requirement.