Follow the steps to accurately complete the student medical information form

1. Press the ‘Get Form’ button to access the IL CPS Student Medical Information form and open it in your preferred editing tool.
2. Enter the student’s name in the designated field at the top of the form. This ensures that the document is correctly associated with your child.
3. Provide the date of birth and student ID number in the specified fields to verify the identity of the student.
4. Indicate the school and grade the student is currently enrolled in. This assists in the proper communication of health information to the relevant school personnel.
5. In the health status section, check the appropriate box to declare whether your child has known health conditions or none at all. If there are known conditions, please specify which ones apply by checking each relevant box.
6. For each health condition checked, provide the year diagnosed if applicable. It’s important to provide accurate information for effective care.
7. Indicate if your child has a primary doctor. If yes, fill in the healthcare provider's name and phone number. This provides the school access to consult with the physician if necessary.
8. If permission is granted, check the box allowing the school nurse or designee to discuss your child's health with the doctor.
9. Confirm whether your child is covered by health insurance. If they are not insured, resources are available to assist you in obtaining health coverage.
10. Enter the parent's name, date, signature, phone number, and email address to finalize and authenticate the document.
11. Once all sections are completed, save your changes, and either download, print, or share the form as needed. Ensure the document is returned to the school nurse.

Complete the IL CPS Student Medical Information form online today to ensure your child's health needs are met.