2015 School Physical Form

This is the new 2015 school physical form in English with the health history section in Spanish.

  • You can begin to use this form immediately.  The form will not be required for use until January 1, 2017. Either the 2013 form or the 2015 form may be accepted for school enrollment for the 2016-17 school year.
  • Changes were made to accommodate changes in immunization law and rules. 
  • The space for documenting vision and hearing screening completed by IDPH certified screeners was removed to make space.  Vision and hearing screening results are no longer part of the permanent school record.
  • Space is now available within the physical exam section for the health care provider to document any vision or hearing screening/testing performed by the provider.
  • The form is also available on the IDPH School Health Program Website.


Translate »