Registration Forms and Documents
Medical Forms
Listed below are the required medical forms. Optional forms are available for athletics and special conditions.
Illinois State Eye and Health Forms are due annually by October 15 for continued attendance, and dental forms are due by May 15.
Emergency Medical Information Form for Liberty CUSD2 (required - complete and submit by the first day of school)
Illinois Certificate of Child Health Examination (required for Grades PK, K, 6, 9, and MCV4 vaccine for grade 12)
Illinois Eye Examination (required for Grade K and all New Students)
Illinois Proof of School Dental Examination (required for Grades K, 2, 6, 9)
General Medical Forms
- Emergency Medical Information Form.pdf
- Illinois Child Health Examination.pdf
- Illinois Eye Examination Report.pdf
- Illinois Eye Exam Waiver.pdf
- Illinois Proof of Dental Examination.pdf
- Emergency Medical Information for Students Having Special Needs or Medical Conditions Who Ride School Buses.pdf
- Medication Administration Policy.pdf
- School Medication Authorization.pdf
- Parental Authorization for Self-Administration of Asthma Medication.pdf