HEALTH FORMS


The state of Illinois requires a number of health forms for your son as he enters Northridge. Please see below for a description of each form. All of these forms may be downloaded below or they can be obtained at the time of examination.

These forms must be brought to Northridge for New Student Orientation on Friday, August 18. Feel free to drop them off at the Northridge Main Office before the date of New Student Orientation if you would like.

  • Physician’s Examination. A completed Physician’s Examination form is required for all incoming students. It must have been completed within the last 6 months. Click here to download the Physician’s Examination form.
  • Vision Exam. All students entering a school in the state of Illinois for the first time must present proof of a recent eye exam. For students entering Northridge from other schools in the state of Illinois, the exam performed at the time of their enrollment in the previous school will suffice. Click here to download the Vision Exam form.  
  • Dental Exam. All students in the state of Illinois must have a recent (within the last 18 months) proof of a dental exam. Click here to download the Dental Exam form. 

Have a question regarding the health forms? Contact Mary Ellen Wauck, Receptionist, at mewauck@northridgeprep.org or 847.375.0600.

 

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8320 Ballard Rd, Niles, IL 60714
Tel: 847.375.0600 Fax: 847.375.0606
info@northridgeprep.org

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8320 Ballard Rd, Niles, IL 60714
Tel: 847.375.0600 Fax: 847.375.0606
info@northridgeprep.org