School Nurse
2300 West Main Street, Mendota, IL 61342
Phone- 815-539-7446, Bilingual- 815-539-5193
Fax- 815-539-3103
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Required Health Forms for Enrollment at MHS

9th Grade

10th Grade

11th Grade

12th Grade

  • MHS Student Health Information Form

  • IHSA Pre-participation Examination Form if participating in any team sports

  • Meningococcal Vaccine - 2nd MCV Dose required at the start of senior year or after turning 16 years of age. One dose required if received after age 16.

PARENTS - CLICK ON THE LINKS ON THE LEFT HAND SIDE OF THE PAGE TO PRINT A COPY OF HEALTH FORMS FOR YOUR PHYSICIAN.

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Nurses Office Announcements for 2017-2018

Seniors--Meningococcal conjugate vaccine requirement (MVC4)

Illinois law 098-0480 requires that any student entering the 12th grade and any student eligible to remain in public school beyond grade 12 must show proof of having received two doses of meningococcal conjugate vaccine. The first dose should be given on or after the 10th birthday, and the second dose should be given at least 8 weeks after the first dose, ideally after the 16th birthday. If the first dose is administered when the student is 16 years or older, only one dose is required for entry into 12th grade.

Please provide proof of vaccination compliance by September 6th, 2017. If we do not receive proof of the above requested vaccine by this date, student will be excluded from school until it is received.

Asthma Updates

If your student has been diagnosed with asthma and requires an inhaler during school hours, MHS requests you complete the asthma action plan (with your Dr.) and the self-administration of asthma medication form and return both to the nurse’s office. In addition, you must present the prescription label from the inhaler box to the nurse’s office.

CLICK ON THE LINK ON THE LEFT HAND SIDE OF THE PAGE TO PRINT A COPY OF THE ASTHMA ACTION PLAN.

Freshman Class of 2021

All incoming 9th graders are required to have a Physical Examination completed by a licensed physician, APN, or PA on the Certificate of Child Health Examination form. A 9th grade physical will cover all Sport physical requirements for the freshman year. A sports physical will not be accepted in place of a 9th grade physical.

CLICK ON THE LINK ON THE LEFT HAND SIDE OF THE PAGE TO PRINT A COPY OF THE STATE OF ILLINOIS CERTIFICATE OF CHILD HEALTH EXAMINATION FORM.

All Students

 

If your child has Asthma, Diabetes, seizures, allergies, or requires an epi pen, it is the parent’s responsibility to submit necessary health care plans and medication to the school nurse.

CLICK ON THE LINK ON THE LEFT HAND SIDE OF THE PAGE TO PRINT A COPY OF ANY HEALTH FORM(S) PERTAINING TO YOUR CHILD, COMPLETE THE FORM(S), AND SUBMIT TO THE NURSE'S OFFICE PRIOR TO THE BEGINNING OF THE 2017-2018 SCHOOL YEAR.

 

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Nurse’s Contact Information

Nurse - Sheri McConville, RN

Office Phone - (815) 539-7446

Office Fax - (815) 538-2026