Christian Liberty Academy

Health Information

School Nurse: Mrs. Nancy Kramer, R.N., B.S.N.
Email:  This email address is being protected from spambots. You need JavaScript enabled to view it. 

Nurse's Office Hours: 8:30am to 3:30pm

Nurse's Blog:  Healthtalk

Welcome to Christian Liberty Academy! The goal of the Christian Liberty Academy Nurse's Office is to promote the optimum health of all students so that they may receive maximum benefit from their educational experience.  In order to make sure your child stays safe and healthy while in school, we require the following information to be submitted. In addition, if your child has a chronic health condition, such as asthma, diabetes, seizures, etc., please notify your school nurse immediately, as additional information will be required as described below.

Nurse's Office

Please notify the clinic of any medical changes in your student (i.e. surgery, major injuries, changes in medication, etc.) and maintain up-to-date address and phone number information with the registrar (847) 385 - 2011. If your student has surgery, please notify me. You will need to provide me with a doctor's release to return to school. Any doctor's note with medical information needs to be turned in to the clinic.

Required Medical Forms

Please click here to see all medicals forms.

Online Health and Contact Forms & Required Exams:

ALL STUDENTS:

Online Family Demographics and Health Forms – all parents must go online to ParentsWeb and complete these forms preferably by August 1st, but no later than the first day of school. These forms are found on the ParentsWeb under Web Forms. Click on “Family Demographics Form.” If you need help setting up an account, please view the Renweb tutorial. Please note this is required in order to receive progress & report cards.

DUE THE FIRST DAY OF SCHOOL:

ALL STUDENTS:

Health Emergency Form 2018-2019


ALL SENIORS (12th grade):

Meningococcal Vaccination Documentation (our form or the doctor’s form – must be signed by the doctor)


NEW STUDENTS GRADES 10-12:

Physical Exam form from the State of Illinois called the “Certificate of Child Health Examination” with complete immunization record. Note, you may submit a copy of the last required state exam which would be the 9th grade physical. *Sports physicals are not acceptable in place of the Certificate of Child Health Examination.


ALL 9TH GRADE:

Physical Exam form from the State of Illinois called the “Certificate of Child Health Examination” with complete immunization record. *Sports physicals are not acceptable in place of the Certificate of Child Health Examination.


STUDENT ATHLETES GRADES 9-12:

IHSA Sports Physical Exam form due the first day of practice. Done yearly.


NEW STUDENTS GRADES 7-8:  

  • Physical Exam form from the State of Illinois called the “Certificate of Child Health Examination” with complete immunization record. Note, you may submit a copy of the last required state exam which would be the 6th grade physical exam. *Sports physicals are not acceptable in place of the Certificate of Child Health Examination.
  • Dental Exam. Note, you may submit a copy of the last required state exam which would be the 6th grade dental exam.
  • Eye Exam by an eye doctor, not your pediatrician. Note, you may submit a copy of the last required state exam which would be the Kindergarten eye exam.


ALL 6TH GRADE:

  • Physical Exam form from the State of Illinois called the “Certificate of Child Health Examination” with complete immunization record. *Sports physicals are not acceptable in place of the Certificate of Child Health Examination.
  • Tdap & Meningococcal Vaccination given at the 6th grade physical examination and documented on the physical exam.
  • New Dental Exam.


STUDENT ATHLETES GRADES 5-8:

Sports Physical Exam form due the first day of practice. Done yearly.


NEW STUDENTS GRADES 3-5:  

  • Physical Exam form from the State of Illinois called the “Certificate of Child Health Examination” with complete immunization record. Note, you may submit a copy of the last required state exam which would be the Kindergarten grade physical exam.
  • Dental Exam. Note, you may submit a copy of the last required state exam which would be the 2nd grade dental exam.
  • Eye Exam by an eye doctor, not your pediatrician. Note, you may submit a copy of the last required state exam which would be the Kindergarten eye exam.


2nd Grade Students:

New Dental Exam


NEW STUDENTS GRADE 1:  

  • *Physical Exam form from the State of Illinois called the “Certificate of Child Health Examination” with complete immunization record.
  • *Dental Exam
  • *Eye Exam by an eye doctor, not your pediatrician.
  • *Note, you may submit a copy of the last required state exams that were done in Kindergarten.


SENIOR KINDERGARTEN 1 & 2

  • Physical Exam form from the State of Illinois called the “Certificate of Child Health Examination” with complete immunization record done at age 5.
  • New Dental Exam
  • New Eye Exam by an eye doctor, not your pediatrician.


JUNIOR KINDERGARTEN

Physical Exam form from the State of Illinois called the “Certificate of Child Health Examination” with complete immunization record done after the age of 4.


PRESCHOOL

Physical Exam form from the State of Illinois called the “Certificate of Child Health Examination” with complete immunization record.


STUDENTS WITH EPIPEN/SEVERE FOOD ALLERGIES:

Food Allergy/Anaphylaxis Care Plan & Medication Authorization if child is carrying an EpiPen & if the nurse needs to give Benadryl orally

STUDENTS WITH ASTHMA:

Asthma Action Plan & Medication Authorization if the student carries an inhaler and/or nurse gives medication.


STUDENTS WITH ADHD

ADHD Care Plan & Medication Authorization if nurse is giving medication at school


STUDENTS WITH DIABETES, SEIZURES, CONCUSSIONS, OR OTHER MEDICAL PROBLEMS:

Diabetes Care Plan, Seizure Action Plan, Concussion Care Plan, Individual Care Plan (for other conditions not mentioned) & also the Medication Authorization as needed.


RELIGIOUS EXEMPTION FORM:

PLEASE NOTE: We do not force anyone to have immunizations that they object to. We believe that the health of the child is the responsibility of the parent. You may submit a religious exemption: the State of Illinois Certificate of Religious Exemption to Required Immunizations form.

ALL MEDICATION GIVEN AT SCHOOL:

We must have a doctor’s order for all medication given at school, including over-the-counter medications.


Message from the Nurse

"Hello, my name is Nancy Kramer and I have been the School Nurse for Christian Liberty Academy since 1996. I have experience in Hospital, Community Health, and Agency Nursing. I have loved all aspects of nursing, but I must say I have really enjoyed being a School Nurse and feel very blessed to be at CLA." 

Kramer Nancy

Click here to see full Nurse's Profile

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