Health Examination Forms

All students entering 6th, 9th, 12th, all new students, and all international students must submit required health forms by August 15th annually.

Submit health forms:

Questions about these forms can be addressed to healthforms@willowsacademy.org

State of Illinois Certificate of Child Health Examination

Dental Examination Form

Eye Examination Form

Religious Exemption Form

Class of 2021 Meningitis Vaccine Requirement

Asthma, Allergies, & Medication

Asthma, allergy, and medication forms must be renewed annually, if applicable.

Asthma Action Plan

Allergy Care Plan

2020-21 Permission for Self Administration of Medication or EPI Pen Must be completed by a physician

2020-21 Permission for School Personnel Administration of Medication Must be completed by a physician

Athletics Health Forms

High school students playing sports must submit a physical examination annually.

IESA/IHSA Pre-Participation Examination Form 

OR State of Illinois Certificate of Child Health Examination

Transcript Request

Use this form to request transcripts from a previous school to be sent to Willows Academy. 

Transcript Release Form