Health Services

If your student has a known health condition—such as asthma, diabetes, seizures, or food allergies—please work with Health Services to ensure we have the necessary documentation and supplies to support them during the school day.

We ask that you provide the following:

• A completed Permission to Administer Medication form
• An up-to-date Action Plan from your child’s healthcare provider
• Any necessary medical supplies your student may require during the school day

Both the medication form and action plan templates are available on the "Important Documents" section of the Health Services webpage.

District 113 Health Services maintains a limited stock of over-the-counter medications, including acetaminophen (Tylenol) and ibuprofen (Advil/Motrin). These can only be administered if a current Permission to Administer Medication form is on file for your student.

Please note: In accordance with District 113 policy, students are not permitted to carry any medication—prescription or non-prescription—on campus. The only exceptions are for epinephrine auto-injectors, asthma rescue inhalers, and diabetes-related medications, which may be carried with proper documentation.

The forms listed below need to be completed for transfer students ONLY. Additionally, visit the Lake County Health Department and Community Health Center for more information. 

To file an insurance claim, please contact Pia Pinello, District 113's Business Office Executive Assistant, at ppinello@dist113.org or (224) 765-1004.

Religious Exemptions

If you are requesting a religious exemption from any of the Illinois State required vaccinations, the Illinois Certificate of Religious Exemption form must be completed and signed by a physician. Please submit this form along with the Illinois Child Health Examination Form before October 15th to avoid school exclusion.

Illinois Certificate of Religious Exemption Form

Illinois General Assembly Administrative Code - Section 665.510  Religious Objection

Medical Exemptions

If your student has a medical contraindication for any of the required Illinois State vaccines, please have your health care provider write a letter stating the following:

A list of vaccines that are medically contraindicated.
The reason why they are medically contraindicated.
Should the medical condition of the child later indicate that immunization is no longer contraindicated to the health of the child, the immunization requirements will then have to be met. Please submit this form along with the Illinois Child Health Examination Form before October 15th to avoid school exclusion.

Illinois General Assembly Administrative Code - Section 665.520  Medical Exemption

The State of Illinois requires that all seniors receive a second dose of the meningococcal conjugate vaccine (MCV4, Menveo, Menactra). If your student received one dose after the age of 16, they do not need a second dose. When your student receives this vaccination, send proof of the vaccination to Health Services. For your student to be compliant with the senior Illinois state requirement, please submit one of the following:

• Proof of vaccination
• Proof of appointment for vaccination and proof of vaccination submitted immediately after appointment
• Illinois Certification of Religious Exemption form
  • This form must be signed by a physician per Illinois state requirements