All Students:

Medication Authorization Form: Complete these forms if your student is to take medication during the school day.  This  includes  self-medication  for  Asthma  inhalers,  Epi-Pens,  Insulin  and over  the  counter  medications  stocked  in  the  clinic  (Ibuprofen,  Acetaminophen,  and  Benadryl). 

This form must be signed by both the parent / guardian and your Health Care Provider.  

Freshmen:

The State of Illinois requires all incoming freshmen to have a current medical physical with immunizations and dental examination forms. These forms must be uploaded to your son’s PowerSchool account before school begins.

PowerSchool account information will be sent to parents/guardians in August.

Any questions regarding these forms can be directed to Carla Andersen, RN at candersen@nddons.org 

Any questions regarding PowerSchool accounts issues can be directed to Deanna Herman at dherman@nddons.org

The Illinois Department of Public Health (IDPH) mandates a physical for entry into ninth grade. This 2-page form consists of the following sections:  Immunizations, Physical Exam and Health History.  

This form must be signed by your Healthcare Provider. A Parent / Guardian must complete and sign the Health History section.

IDPH Dental Examination: The Illinois Department of Public Health (IDPH) mandates a dental examination for entry into ninth grade.

Transfer Students:

IDPH Certificate of Child Health Examination: This is an IDPH Mandate. This 2-page form consists of the following sections: Immunizations, Physical Exam and Health History. 

This form must be signed by your Healthcare Provider. A Parent / Guardian must complete and sign the Health History section.

International or Transfer Students New to the State of Illinois:

IDPH Certificate of Child Health Examination: This is an IDPH Mandate. This 2-page form consists of the following sections:  Immunizations, Physical Exam and Health History. This form must be signed by your Healthcare Provider. A Parent / Guardian must complete and sign the Health History section.

Illinois Eye Examination Report This is a two-page form.

Athletes:

IHSA Pre-Participation Form: All athletes must complete the ISHA Sports Physical form annually.

NOTE: this is a different form than what is required for admission. This form must be signed by your Healthcare Provider.

Please email the completed form to the school nurse candersen@nddons.org .  

If the form is missing or incomplete the athlete will not be eligible for participation; practice or games, until corrected.