Data Analysis & Progress Reporting
Health Requirements/Student Health Data
Immunization • Health Forms • Diabetes • Lead Screening • Dental Health • Eye Health
Immunization
- Immunization information (formerly provided via ISBE Immunization School Survey Form 70-11) must be entered and reviewed online via (IWAS)
- Immunization School Survey Results
- Immunization Status of School-Age Children in Illinois by School Year
- Trends in the Immunization/Health Examination Compliance Rate, Illinois PreK-12 Students

- Trends in Protection Against Selected Communicable Diseases,
Illinois PreK-12 Students
Health
Forms
- Child Health Examination Form

- Child Health Examination Form—Spanish

- Using the Revised
Child Health Form—The required Certificate of Child Health Examination
form has been revised to accommodate changes in the Illinois
Child Health Examination Code

Diabetes
- Public Act 93-0530—An explanation of PA 93-0530 Diabetes Risk Assessment

- Diabetes Risk Assessment—A Memorandum from Illinois Department of Public Health (IDPH)
and Department of Human Services (DHS) explaining the enforcement
of PA 93-0530 Diabetes Risk Assessment

Lead Screening
- Lead Questionnaire —The Childhood Lead Risk Assessment Questionnaire for Lead Poisoning Screening (Updated October 2007)

- Lead
Questionnaire—(Spanish)

- High Risk Zip Codes—The Pediatric Lead Poisoning High Risk Zip
Code Areas for 2005 distributed by the IDPH

Dental Health
- School
Dental Examinations—Information Sheet

- IDPH
Proof of School Dental Examination Form
En Español
- IDPH
Dental Examination Waiver Form
En Español
- Dental
Information--Data Entry Worksheet

- Student Health Data (Dental) IWAS User Guide
(Updated 3/09) - IDPH Rules & Regulations on immunization & dental requirements
- Dental Survey Results
- Dental Compliance Trends—Dental
Compliance and Dental Health Status of School-age Children
of Kindergarten, Second, and Sixth Grades in Illinois
Eye Health
- School Eye Examinations--Information Sheet
(Updated 10/09) - Eye Examination Data Entry Worksheet
(10/09) - Student Health Data (Eye Examination) Reporting Instructions–IWAS User Guide (10/09)
- IDPH Eye Examination Report Form

- IDPH Eye Examination Waiver Form
- Eye Examination Survey Results
- Eye Examination Compliance Status of Illinois School-age Children






