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Health and Wellness

School nurse Anne Riggs is available from 8:30 am to 4:30 pm every day during the school year. If you need to discuss any health issues your child may have or have questions about medical forms, please contact her at (847) 425-5816 or ariggs@bakerdemschool.org.

Medical Forms

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

For students new to Baker:
2016-2017 Health Office Requirements (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 Emergency Action 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.) 2016-17 Requirements for Student Athletes (PDF)