Preparing for an appointment with a healthcare provider
- Bring the State of Illinois Certificate of Child Health Examination form.
- Please complete and sign the Health History portion at the top of page two before the visit.
- Also, bring a copy of your student’s immunizations to the appointment.
- Ask your health care provider to complete the State of Illinois form during your visit.
Send a copy of the form: (Choose one method only)
- Mail: ETHS Health Services, 1600 Dodge Ave. Room N121, Evanston, IL 60201-3449
- Fax: 847-424-7254
- In person: Drop boxes are located at each entrance for your convenience or can be hand-delivered to the Health Services Office N121, during normal office hours.
- Scan and email to: email@example.com
Health Requirements for Incoming Freshmen
Illinois state law requires each student to have a physical examination performed by a licensed health care provider (MD, DO, APN, or PA). State law also requires each student to show evidence of the immunizations outlined in the Physical Exam and Immunization Requirements document below. Evanston Township High School District 202 has a policy of first day exclusion. Students who do not have a current physical exam and immunization records on file will be excluded from school until such requirement is met. In addition, all students who will be attending summer school at ETHS will need to have their physical examination completed and turned in to the Nurses' Office before the start of summer school.The school-based ETHS Health Center can provide physicals for incoming 9th grade students at low to no cost. Free or low cost immunizations are available to students meeting certain criteria. To schedule an appointment, please call 847-424-7265. Parents/guardians can also choose to schedule their child’s physical exam and immunizations with their family health care provider.
Health forms for students enrolling in grade 9 are due to the ETHS Health Services (Nurses’) Office, room N121, by the dates listed in this PDF. This includes the deadline for incoming freshmen who plan to attend Summer School at ETHS.
State of Illinois law requires proof of a physical examination dated no earlier than one year prior to a student entering grade 9, for all students entering the district for the first time, and for all students entering District 202 from outside the State of Illinois or the United States. Proof of physical exam and immunization dates and records must be submitted on the Child Health Examination Form. Download this form and have it completed, signed, stamped and dated by your child's health care provider.
Religious Objections to Immunizations and/or Examinations
As of October 16, 2015, parents or guardians requesting a religious exemption must submit the Illinois Certificate of Religious Exemption form signed by parent and student’s health care provider. Form will be required to start classes.
In compliance with Illinois Public Act 093-0946, by May 15th of that school year, students entering grade 9 are required to have a dental exam on file. School dental examinations must have been completed within 18 months prior to the May 15 deadline. Download this form and have it completed, signed and dated by your child's dentist.
Illinois school code now requires schools to request an Asthma Action Plan for each student with asthma. Click on the link above to open the Asthma Action Plan form. The doctor, nurse practitioner or physician's assistant that manages your student's asthma can complete this form or use their own form. Once completed and signed by the parent or guardian, the form must be submitted to the Nurses' Office, Health Services Department, in one of the following ways.
Evanston Township High School
Health Services, Room N121
1600 Dodge Ave
Evanston, IL 60202
By Fax: 847-424-7254
Scan and email to: firstname.lastname@example.org
Drop Off In Person: Forms may be dropped off to the Nurses' Office, Health Services Department, Room N121 during the hours listed on this page. Forms may also be dropped off at either Entrance #1 or Entrance #2 (please use an envelope marked "Health Services").
Information sent to parents of incoming freshmen regarding the health and immunization requirements to attend ETHS.
The ETHS Health Center is a partnership between NorthShore University HealthSystem, Evanston Township High School, and the Evanston Department of Health and Human Services with funding from the Illinois Department of Public Health. Health Center staff provide ongoing care to students with acute or chronic conditions, and perform physical exams for incoming and new students as well as annual sports physicals for current students in grades 9-12.The ETHS Health Center offers physical exam appointments to eighth graders who will be attending ETHS. If you would like your student to receive services at the ETHS Health Center such as a physical exam, please call now to schedule your exam. Please note: We do not provide routine vaccines to children with private health insurance. For more information or to schedule an appointment, call 847-424-7265.