6th grade Physical Exam/Immunizations/Dental Exam pg. 1

Due by October 15, 2020

Use attached form- NOT IHSA SPORTS FORM

May 2020

Dear Parents,

Your child will be entering the 6th grade during the next school year, 2020-2021. The State of Illinois requires all incoming 6th grade students to have a physical exam and IDPH immunizations prior to entrance into the 6th grade. Physical can be completed up to a year before the start of school. A Dental Exam completed any time after December 15, 2019 will be accepted.

Physical Exam must have the following:

•	State of Illinois Certificate of Health Exam form (attached) no other form will be accepted

•	Immunizations as required by the Illinois Dept. of Public Health (IDPH) including: DTP and Polio series, 2 Varicella, 2 MMR, 3 Hep B, 1 Tdap booster and 1 Meningococcal

•	Your child may have had some of the above shots in the past. They do not need to be repeated for 6th grade. Please turn in complete immunization record.

•	Parent section completed, signed and dated

•	Doctor section completed, signed and dated

Completed physical/immunizations are to be presented to the school office by October 15, 2020.

STUDENTS WILL NOT BE ALLOWED TO ATTEND SCHOOL ON OCTOBER 15, 2020- UNTIL THE PHYSICAL/IMMUNIZATIONS ARE RECEIVED BY THE SCHOOL.

An appointment scheduled after October 15, WILL NOT allow a student to remain in school.

Have the doctor check the “interscholastic sports” box on the back side of the school physical form, this will allow your student to participate in Wesclin sports.

Dental Exam: must have one of the following completed: DUE May 1, 2021

•	State of Illinois, Proof of School Dental Examination Form (attached)- no other form will be accepted

•	Wesclin District plans to offer an in-school dental clinic during the 2020-21 school year. This clinic is free to all parents and is open to all students in Wesclin District. Information about the dental clinic will be available at school registration.

If you have any questions, please email or call me at 618-224-7355 ext. 1106.

Sincerely,

Rita Wuebbels RN

Wesclin District Certified School Nurse

wuebbelsr@wesclin.org

COVID 19 UPDATE: pg. 2

As always, please contact your primary health care provider for routine physical exams and immunizations. If you need to utilize the health departments for immunizations, please note:

As of April 28, 2020, the Clinton County Heath Dept is NOT providing routine immunizations. The St. Clair County Health Dept, in Belleville IS administering immunizations at this time, by appointment only.

Appointments are on Wednesdays 8am- 4pm and 2nd Wednesday of each month has evening hours.

St. Clair County Health Department

19 Public Square Suite 150

Belleville, IL 62220

618-233-6170 ext. 4500 (will connect to person making immunization appointments)