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Immunization

Immunization School Survey Results

• Immunization School Survey Results 2023-24 Complete Submission
  
• Immunization School Survey Results 2023-24 Incomplete Submission​
  
• Immunization School Survey Results ​​2022-23 Complete Submission
  
• Immunization School Survey Results 2022-23 Incomplete Submission
  
• Immunization School Survey Results ​2021-22 Complete Submission
  
• Immunization School Survey Results 2021-22 Incomplete Submission
  
• Immunization School Survey Results ​2020-21 Complete Submission
  
• Immunization School Survey Results 2020-21 Incomplete Submission
• 2019-20 Complete Submission​
  
• Immunization School Survey Results 2019-20 Incomplete Submission
• Immunization School Survey Results ​2018-19 Complete Submission
• Immunization School Survey Results 2018-19 Incomplete Submission
• Immunization School Survey Results ​2017-18 Complete Submission
• Immunization School Survey Results 2017-18 Incomplete Submission
• Immunization School Survey Results 2016-17 Complete Submission
• Immunization School Survey Results 2016-17 Incomplete Submission
• Immunization School Survey Results ​2015-16 Complete Submission​
  
• Immunization School Survey Results 2015-16 Incomplete Submission
• Immunization School Survey Results ​2014-15 Complete Submission
  
• Immunization School Survey Results 2014-15 Incomplete Submission
• Immunization School Survey Results 2013-14 Complete Submission
• Immunization School Survey Results 2012-13 Complete Submission
• Immunization School Survey Results 2011-12 Complete Submission
• Immunization School Survey Results 2010-11 Complete Submission
• Immunization School Survey Results 2009-10 Complete Submission
• Immunization School Survey Results 2008-09 Complete Submission
• Immunization School Survey Results 2007-08 Complete Submission
• Immunization School Survey Results 2005-06 Complete Submission
• Immunization School Survey Results 2004-05 Complete Submission
• Immunization School Survey Results 2003-04 Complete Submission

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

• Immunization Status of School-Age Children in Illinois, by School Year 2014-2015
• Immunization Status of School-Age Children in Illinois, by School Year 2013-2014
• Immunization Status of School-Age Children in Illinois, by School Year 2012-2013
• Immunization Status of School-Age Children in Illinois, by School Year 2011-2012
• Immunization Status of School-Age Children in Illinois, by School Year 2010-2011
• Immunization Status of School-Age Children in Illinois, by School Year 2009-2010
• Immunization Status of School-Age Children in Illinois, by School Year 2008-2009
• Immunization Status of School-Age Children in Illinois, by School Year 2007-2008
• Immunization Status of School-Age Children in Illinois, by School Year 2006-2007
• Immunization Status of School-Age Children in Illinois, by School Year 2005-2006
• Immunization Status of School-Age Children in Illinois, by School Year 2002-2003
• Immunization Status of School-Age Children in Illinois, by School Year 2000-2001
• Immunization Status of School-Age Children in Illinois, by School Year 1999-2000
• Immunization Status of School-Age Children in Illinois, by School Year 1998-1999
• Trends in the Immunization/Health Examination Compliance Rate, Illinois PreK-12 Students SY2009-2013
• Trends in Protection Against Selected Communicable Diseases, Illinois PreK-12 Students SY2009-2013

Dental

Dental Survey Results

• Dental Survey Results ​2023-2024​
• Dental Survey Results ​2022-2023​
• 2021-2022
• Dental Survey Results 2020-2021
• Dental Survey Results 2013-2104
• Dental Survey Results 2012-2013
• Dental Survey Results 2011-2012
• Dental Survey Results 2010-2011
• Dental Survey Results 2009-2010
• Dental Survey Results 2008-2009
• Dental Survey Results 2007-2008
• Dental Survey Results 2006-2007

Dental Examination Compliance and Dental Health Status of Illinois School-Age Children

• Dental Examination Compliance and Dental Health Status of Illinois School-Age Children Trends in Dental Compliance 2005-2008
• Dental Examination Compliance and Dental Health Status of Illinois School-Age Children 2013-2014
• Dental Examination Compliance and Dental Health Status of Illinois School-Age Children 2012-2013
• Dental Examination Compliance and Dental Health Status of Illinois School-Age Children 2011-2012
• Dental Examination Compliance and Dental Health Status of Illinois School-Age Children 2010-2011
• Dental Examination Compliance and Dental Health Status of Illinois School-Age Children 2009-2010
• Dental Examination Compliance and Dental Health Status of Illinois School-Age Children 2008-2009
• Dental Examination Compliance and Dental Health Status of Illinois School-Age Children 2007-2008
• Dental Examination Compliance and Dental Health Status of Illinois School-Age Children 2006-2007
• Dental Examination Compliance and Dental Health Status of Illinois School-Age Children 2005-2006

Eye

Eye Examination Survey Results

• Eye Examination Survey Results ​2023-2024
• Eye Examination Survey Results ​2022-2023
• Eye Examination Survey Results 2021-2022
• Eye Examination Survey Results 2020-2021
• Eye Examination Survey Results 2013-2014
• Eye Examination Survey Results 2012-2013
  
• Eye Examination Survey Results 2011-2012
• Eye Examination Survey Results 2010-2011
• Eye Examination Survey Results 2009-2010
• Eye Examination Survey Results 2008-2009

Eye Examination Compliance and Dental Health Status of Illinois School-Age Children

• Eye Examination Compliance and Dental Health Status of Illinois School-Age Children 2013-2​014
• Eye Examination Compliance and Dental Health Status of Illinois School-Age Children 2012-2013
• Eye Examination Compliance and Dental Health Status of Illinois School-Age Children 2011-2012
• Eye Examination Compliance and Dental Health Status of Illinois School-Age Children 2010-2011
• Eye Examination Compliance and Dental Health Status of Illinois School-Age Children 2009-2010
• Eye Examination Compliance and Dental Health Status of Illinois School-Age Children 2008-2009​​​​​​​​​
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Immunization​

• Immunization Data Entry Worksheet​

Dental

• Dental Information Data Entry Worksheet​
  • Printer-friendly Versions
    • Dental Information Data Entry Worksheet Letter Size
    • Dental Information Data Entry Worksheet Legal Size

Eye​

• Eye Examination Data Entry Worksheet
• Printer-friendly Versions
• Eye Examination Data Entry Worksheet Letter Size
• Eye Examination Data Entry Worksheet Legal Size​
  

Physical Fitness

• ​Physical Fitness Data Entry Worksheet​​​​​​​
  

Immunization

• Student Health Data – Immunization System – IWAS User Guide for Electronic Submission

Dental

• Student Health Data Dental System IWAS User Guide for Electronic Submission

Eye

• Student Health Data – Eye Exam – IWAS User Guide for Electronic Submission​​
  

Physical Fitness

• ​Physical Fitness System - IWAS User Guide for Electronic Submission​​
  

School Code

• School Code - Health examinations and immunizations. (105 ILCS 5/27-8.1)
• Child Health Examination Administrative Code - 77 Ill. Adm. Code Part 665

Immunization

• IPDH Immunization Requirements - 2021
  
• How to Calculate Actual Unduplicated Count of Students

Dental

• Dental Exam Form (IDPH)
  
• Proof of School Dental Examination Form
• Proof of School Dental Examination Form - Español
• Proof of School Dental Examination Form - Français
• Dental Examination Waiver
• Dental Examination Waiver - Español
• Dental Examination Waiver - Français​​

Eye

• School Eye Examinations Information Sheet
  

Immunization

• State of Illinois Certificate of Health Exam
  
• State of Illinois Certificate of Health Exam- EspañolEspañol

Dental

• IDPH Proof of School Dental Examination Form
• IDPH Proof of School Dental Examination Form Español
• IDPH Dental Examination Waiver Form
• IDPH Dental Examination Waiver Form Español

Eye

• IDPH Eye Examination Report Form
• IDPH Eye Examination Waiver Form​​
  

• ​​Physical Fitness FAQ
  
• Brockport FAQ​​