Quick Links
Skip to main contentSkip to navigation

Winchester Schools

Medical Forms


Ajax Loading Image


Various Medical Forms



Updated - June 30, 2021


Medical Requirements for 2021-2022.pdf


Authorized Permission to Administer Prescription Medication Y22.pdf

Over the Counter Medication Form 2021-22.pdf

Medical-Authority-Modified-Meal-Request-Form NEW FOR 21-22.pdf

IL Food Allergy Emergency Action Plan.pdf

Asthma Action Plan.pdf





Child Health Exam Form (Physical Form)  (This is the Physical form that all New students to district; K; 6th & 9th graders have to have.)

Illinois Religious Exemption Form 

Dental Exam Waiver Form

Dental Examination Proof Form (updated 6/30/21)

Eye Exam Report Form 

Eye Exam Waiver Form 

Lead Screening Form 


PreParticipationPhysicalForm y21.pdf

Click here for the Sports Medicine Authorization and Consent Form