Illinois law (Child Health Examination Code, 77 Ill. Adm. Code 665) states all children entering the ninth grades of any public, private or parochial school shall have a dental examination. The examination must have taken place within 18 months prior to May 15 of the school year. A licensed dentist must complete the examination, sign and date this Proof of School Dental Examination Form. If you are unable to get this required examination for your child, fill out a separate Dental Examination Waiver Form.

All health related forms are available in the Health Services office and on the Health Services webpage.