Forms for the School year

The following forms are due by the end of the first week of school. The forms can be completed on your computer, printed, and signed. Hard copies are also available in the main office.

Click here for further information on the minimum health requirements for Chicago Public Schools. Here is the link to the full CPS’ Student Health and School Form Booklet in English and Spanish.

All Students

Forms to Be turned in each year

Student Emergency Forms

The persons you list on this form are the ONLY people allowed to sign your child out for early dismissal.

Student Emergency Form

CPS Family Income Information

Students will get hard copies during the first week of school. Critical funding is based on the % of forms that we collect.

English
Español

Media Consent

Media Consent Form

Student Medical Information

Student Medical Info Form
Specific Students

Medical Forms

Physical Examination

For those entering kindergarten, 6th grade or CPS for the first time

Physical Exam Form

Visual Examination

For those entering kindergarten or the state of IL for the first time at any grade level

Visual Exam Form

Dental Examination

For those entering kindergarten, 2nd and 6th grade

Dental Exam Form