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 Child Health Examination Form Il 2013-2025

Cfs 600 3 2013-2025 Form

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What is the Child Health Examination Form IL

The Child Health Examination Form IL, commonly referred to as the CFS 600 3, is a crucial document used in the state of Illinois to ensure that children receive necessary health assessments. This form is typically required for various purposes, including school enrollment, participation in sports, and other activities where proof of health status is needed. It captures essential health information, including immunization records, physical examination results, and any pertinent medical history.

How to use the Child Health Examination Form IL

Using the Child Health Examination Form IL involves several straightforward steps. First, parents or guardians should obtain the form from a reliable source, such as a healthcare provider or an educational institution. Once the form is in hand, it should be filled out accurately, ensuring all required sections are completed. After filling out the form, it must be signed by a licensed healthcare professional who conducted the examination. Finally, the completed form should be submitted to the relevant school or organization as per their guidelines.

Steps to complete the Child Health Examination Form IL

Completing the Child Health Examination Form IL can be done effectively by following these steps:

  • Obtain the form from a healthcare provider or educational institution.
  • Fill in the child's personal information, including name, date of birth, and address.
  • Provide details about the child's medical history, including allergies and chronic conditions.
  • Document the results of the physical examination, including height, weight, and vision screening.
  • Include immunization records, ensuring they are up to date.
  • Have the form signed by the healthcare professional who performed the examination.
  • Submit the completed form to the appropriate school or organization.

Key elements of the Child Health Examination Form IL

The Child Health Examination Form IL includes several key elements that are essential for its validity and utility. These elements typically consist of:

  • Child's personal information, such as name and date of birth.
  • Medical history, including any known allergies or previous illnesses.
  • Results from the physical examination, covering vital signs and overall health status.
  • Immunization records, detailing vaccinations received and dates administered.
  • Signature and license number of the examining healthcare professional.

Legal use of the Child Health Examination Form IL

The legal use of the Child Health Examination Form IL is governed by state regulations that mandate its completion for specific activities, such as school enrollment and participation in sports. It serves as a formal record of a child's health status and immunization compliance, which can be crucial for public health monitoring. Ensuring that the form is filled out correctly and submitted on time helps parents comply with legal requirements and protects their child's eligibility for various programs and activities.

Who Issues the Form

The Child Health Examination Form IL is typically issued by healthcare providers, including pediatricians and family physicians. Schools and educational institutions may also provide copies of the form for parents to complete. It is important for parents to ensure that the form is filled out by a licensed healthcare professional to meet the requirements set forth by the Illinois Department of Public Health.

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