DPS 109 Health Requirements Submission Form Logo
  • DPS 109 Health Requirements Submission Form

    - ONE FORM PER DPS 109 STUDENT -
  • Where to Submit Your Files

    Please use the upload tool below to securely provide school health requirements including Physical Examinations, Immunizations, Eye Examinations, and Dental Examinations. For your convenience, multiple files can be uploaded in one submission. Please remember to upload all pages of the forms to meet the requirements. 

     

    *Please Note: In lieu of the immunization and health examination, parents/guardians may submit the: Illinois Certificate of Religious Exemption to Required Immunizations and/or Examinations Form.

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