Illinois Medical Forms
State of Illinois Certificate of Child Health Examination (required prior to student’s 1st day and within 1 year of start date)
State of Illinois Proof of School Dental Examination Form (required for QRCP Kindergarten students only)
State of Illinois Eye Examination Report (required for QRCP Kindergarten students only)
Illinois Certificate of Religious Exemption to Required Immunizations and/or Examinations Form
We have a School Nurse on site daily. You can email any updated medical forms to nurse@qrcp.org.
Medication / Health Management Forms
School Medication Authorization Form (required for all medication administration needs at QRCP)
Illinois Food Allergy Emergency Action Plan
Asthma Assessment and Management Plan
Information
For all vacation credits, schedule changes, or to report an absence, email schedule@qrcp.org
Authorized Pickup Form
Calendar

