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

  • State of Illinois Certificate of Child Health Examination Form

  • MHS Student Health Information Form

  • Immunizations must be up to date (see Minimum Immunization Requirements Footnotes for Guidance).

  • Meningococcal Conjugate Vaccine (MCV4) One dose is required for entry into 9th Grade starting 2018-2019 school year.

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.