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Printed by Authority of the State of Illinois Vision. Hearing. FOR USE IN DCFS LICENSED. CHILD CARE FACILITIES TB skin test positive (past/present)?.
 Illinois law requires that proof of an eye examination by an optometrist or physician (such The parent of any child who is unable to obtain an examination must submit a waiver form to the school. Constant wear ? Near vision ? Far vision.
 Health/Vision/Dental Exam Requirements & Other Medical. Forms school for the first time, and students transferring into Illinois from out-of-state, or out-of- country must submit a DHS State of Illinois Certificate of Child Heath Exam Form.
 For specific vaccine details, medical waivers, child health examination forms and For Vision and Hearing Screening and Referral contact IDPH Division of
 required State of Illinois Certificate of Child Health Examination Form. The medical provider must sign the physical examination form in two places to verify
 school year the child enters the Illinois school system for the first time. The parent of examination must submit a waiver form to the school. Color vision q q q.
 child is new to District 20, is entering kindergarten and is entering 6th grade. For the Illinois For the Illinois State vision exam waiver form, please click here.
 1 Jan 2008 The child presents an Eye Examination Waiver form indicating— The child does not have any type of medical or vision/eye care insurance
 Illinois School Requirements for Children's Vision Illinois requires a vision that states, "Vision screening is not a substitute for a complete eye and vision
 Immunization, Health Forms, Diabetes, Lead Screening, Dental Health, Eye Health.
     
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