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State of Illinois - Governor Blagojevich 

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Data Analysis & Progress Reporting

 

Health Requirements/Student Health Data

Immunization User Guide For Electronic Submission. The formerly paper-based data collection of the Immunization School Survey Form (ISBE 70-11) is to be completed and reviewed online via the ISBE Web Application Security (IWAS).

Immunization School Survey Results

Immunization Status of School-Age Children in Illinois by School Year

Trends in the Immunization Compliance Rate, Illinois K-12 Students PDF File

Trends in Protection Against Selected Communicable Diseases, Illinois K-12 Students PDF File

Health Forms

Diabetes

Public Act 93-0530. PDF File An explanation of PA 93-0530 Diabetes Risk Assessment.

Diabetes Risk Assessment. PDF File A Memorandum from Illinois Department of Public Health (IDPH) and Department of Human Services (DHS) explaining the enforcement of PA 93-0530 Diabetes Risk Assessment.

Lead Screening

Lead Questionnaire. PDF File (Updated October 2007)
The Childhood Lead Risk Assessment Questionnaire for Lead Poisoning Screening.

Lead Questionnaire PDF File (Spanish)

High Risk Zip Codes. PDF File (Updated) The Pediatric Lead Poisoning High Risk Zip Code Areas for 2005 distributed by the IDPH.

Dental

School Dental Examinations—Information Sheet PDF File

IDPH Proof of School Dental Examination Form PDF File

IDPH Dental Examination Waiver Form PDF File

Dental Information--Data Entry Worksheet Excel File

Student Health Data (Dental) Reporting Instructions PDF File (Updated 5/08)

IDPH Rules & Regulations on immunization & dental requirements

Dental Survey Results 2006-2007 Excel File

Dental Compliance Trends PDF File

Dental Compliance and Dental Health Status of School-age Children of Kindergarten, Second, and Sixth Grades in Illinois

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Agency General Information
100 N. 1st Street • Springfield, IL 62777 • 866/262-6663 • 217/782-4321 • Directions PDF File
100 W. Randolph, Suite 14-300 • Chicago, IL 60601 • 312/814-2220 • Directions PDF File