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Williamsville-Sherman CUSD#15

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Health Services

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School Physical and Immunizations
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Grade Level Forms
Illinois' Required & Recommended Immunizations

Kindergarten

Certificate of Child Health Examination (School Physical and Immunization records)
State of Illinois Eye Examination Report
PROOF OF SCHOOL DENTAL EXAMINATION FORM (within the last 18 months)

2nd Grade

PROOF OF SCHOOL DENTAL EXAMINATION FORM (within the last 18 months)

6th Grade

Certificate of Child Health Examination (school physical and immunization records)
Proof of Dental Exam (within the last 18 months)

9th Grade

Certificate of Child Health Examination (school physical and immunization records)
Proof of Dental Exam (within the last 18 months)

12th Grade

Updated Immunizations Records.

Williamsville-Sherman CUSD#15

451 S Pine St

Williamsville, IL 62693

(217) 566-3890

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