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Winchester Schools

Medical Forms


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Various Medical Forms


Medical Requirements for the 2020-2021 School Year


Authorization and Permission for Administering Prescription Medicine Form Y21

Physician Statement for Food Substitution

Illinois Food Allergy Emergency Action Plan

Asthma Action Plan

Over the Counter Medical Form Y21


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 Exam Proof Form 

Eye Exam Report Form 

Eye Exam Waiver Form 

Lead Screening Form 


Click here to view the IHSA/IESA Pre-Participation Examination for Sports 

Click here for the Sports Medicine Authorization and Consent Form 




    kindergarten health packet 04-08-2020.pdf  This packet is for the SY2021