Immunizations

Required Documents for All Incoming Marian Central High School Students

STATE OF ILLINOIS CERTIFICATE OF CHILD HEALTH EXAMINATION
Form must be dated between June 1, 2020 and September 30, 2020 – Due in Main Office no later than 10/1/2020

 

STATE OF ILLINOIS DENTAL PROOF OF SCHOOL DENTAL EXAMINATION FORM
 Form must be dated between November 15, 2019 and May 14, 2021 – Due in Main Office no later than 5/15/2021

A completed Dental Examination is required of all incoming Freshmen. The dates for the exams are no earlier than November 15, 2019 and no later than May 14, 2021.  Forms must be turned in to the office no later than May 15, 2021.

 

STATE OF ILLINOIS EYE EXAMINATION REPORT
Exam form due in the Main Office no later than 10/1/2020

All students new to the State of Illinois are required to submit a completed Eye Exam form no later than October 1, 2020.

 

RELIGIOUS EXEMPTION FORMS

PROCEDURE FOR FILING A RELIGIOUS EXEMPTION TO THE REQUIRED IMMUNIZATION REQUIREMENTS

If you wish to apply for religious exemption from immunizations, please follow the procedure as described by the Diocese of Rockford.  Per Illinois law, Religious Exemption Forms must be filled out by the parent and signed by your health care provider.  All exemptions must be approved by the Diocese of Rockford.

 

According to the Marian Central Catholic High School Handbook: 

“At the start of a given school year, all freshmen and transfer students are required to submit to the school office a current (less than 1 year) physical examination completed on the State of Illinois Certificate of Child Health form. This form should be filled out completely, signed by a healthcare provider, and dated with the month/day/year of each immunization indicating that the student is fully protected and in compliance with all required immunizations. All students are to meet this requirement prior to the start of the school year. Failure to meet this requirement by October 1 of the current school year will result in the student being excluded from further school attendance until the requirement is met. A dental exam completed on the State of Illinois Proof of Dental Examination form is required for all 9th grade students. The exam must take place between November 15, 2019 and May 14, 2021 and turned in to the main office no later than May 15, 2021.”