Required Health Forms for Enrollment at MHS

9th Grade

• State of Illinois Certificate of Child Health Examination Form

• MHS Student Health Information Form

• Immunizations must be up to date (see Minimum Immunization Requirements Footnotes for Guidance).

• Meningococcal Conjugate Vaccine (MCV4) One dose is required for entry into 9th Grade starting 2018-2019 school year.

10th Grade

• MHS Student Health Information Form

• IHSA Pre-participation Examination Form if participating in any team sports

• Immunizations must be up to date (see Minimum Immunization Requirements Footnotes for Guidance).

11th Grade

• MHS Student Health Information Form

• IHSA Pre-participation Examination Form if participating in any team sports

• Immunizations must be up to date (see Minimum Immunization Requirements Footnotes for Guidance).

12th Grade

• MHS Student Health Information Form

• IHSA Pre-participation Examination Form if participating in any team sports

• Meningococcal Vaccine - 2nd MCV Dose required at the start of senior year or after turning 16 years of age. One dose required if received after age 16.

9th Grade Dental Exam Requirement

A new Illinois law that took effect on January 1, 2019, now requires children to have a dental exam performed by a dentist before starting high school. Previously, Public Act 100-0829 applied to children in kindergarten, second, and sixth grades. The law now expands to cover students entering ninth grade. The law goes into effect for the new 2019-2020 school year.

Students in their Freshman Year at MHS must have a dental exam performed by a dentist by May 15 of the end of their school year or present proof to MHS that their exam has been scheduled in the next 60 days. Failure to present proof of the dental examination by May 15, 2020 may result in the school holding the student’s report card, unless the student presents proof of the completed dental exam or proof that a dental exam will take place within 60 days after May 15, 2020. The Department of Public Health will establish a waiver for children who show an undue burden due to lack of access to a dentist.

We apologize this information did not go home to you in June with the other registration materials. We appreciate your support in adhering to the new law.

Please contact Mrs. Sheri McConville, School Nurse, at 815-539-7446, extension 507 or Mrs. Denise Aughenbaugh, Principal with any questions.

Utilize the links provided below to access the Dental Examination Waiver Form and the Dental Examination Form.

Dental Examination Form

Dental Examination Waiver Form