Forms

cleanup

In order to attend St. Cyprian, students must be in compliance with state of Illinois health requirements:

  • All students must have up to date immunization records on file at school
  • Preschool students must have record of immunizations, physical examination (within one year), and medical history. (Form can be found below)
  • Kindergarten students must have record of immunizations, medical history, and physical examination (within one year); dental exam; and eye exam. (Forms can be found below)
  • Second grade students must have record of a current dental exam. (Form can be found below)
  • Sixth grade students must have record of a current physical exam (within one year) and dental exam. (Forms can be found below)

Dental Exam Record

Eye Exam Record

Physical Examination & Immunizations