Health & Wellness

Our Health and Wellness Team

School Nurse
Anne Riggs
847-425-5816
ariggs@bakerdemschool.org

The School Nurse cares for the overall health of the school community. She manages the CPR training of faculty, works with faculty on health education for all students, and cares for the daily healthcare needs of children in the school. She is responsible for all student health records and requests from the state for mandated school health compliance. If your child has any special health needs, please contact school nurse Anne Riggs at 847-425- 5816 or ariggs@bakerdemschool.org prior to the start of the school year to discuss medical care and accommodations that will be required during the school year. Health forms are available to download on the Baker Demonstration School website.

 

Medical Forms

All medical forms should be filled out and submitted before the first day of the school year.

Guidelines for Health Examinations, Records, and Forms (PDF)
Fall 2018 Illinois School Immunization Requirements by Grade Level (PDF)

For all new students:
1) Guidelines for Health Examinations, Records, and Forms (PDF)
2) Certificate of Child Health Examination (PDF)
3) dental exam: Dental Exam Requirement (PDF)
4) eye exam: Eye Examination Report (PDF)

For new pre-kindergarten students:
1) doctor’s physical and up-to-date immunizations: Certificate of Child Health Examination (PDF)
Parents please fill out and sign the Medical History portion of this form yourself.

For kindergarten students:
1) doctor’s physical and up-to-date immunizations: Certificate of Child Health Examination (PDF)
Parents please fill out and sign the Medical History portion of this form yourself.
2) dental exam: Dental Exam Requirement (PDF)
3) eye exam: Eye Examination Report (PDF)

For second grade students:
1) dental exam: Dental Exam Requirement (PDF)

For sixth grade students:
1) doctor’s physical and up-to-date immunizations: Certificate of Child Health Examination (PDF)
Parents please fill out and sign the Medical History portion of this form yourself.
2) dental exam: Dental Exam Requirement (PDF)

Other Medical Forms

1) If your child has a severe allergy to food, bees or other allergens that requires an Epi-Pen or Auvi-Q, please fill out the following form with your doctor: Allergy and Anaphylaxis Emergency Plan (PDF)
2) If your child has asthma please fill out the Asthma Action Plan (PDF) form with your doctor.
3) In order for the nurse to administer over-the-counter and/or prescription medications during school hours, please fill out and have your doctor sign the Medication Authorization Form (PDF).
4.) Concussion Information Form and Sign-Off Sheet (PDF)