St. Joseph Catholic School

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Sixth grade medical form upload page. Required forms for this grade level:

State of Illinois Certificate of Health Examination (current and within 1 year from the first day of the new school year).
State of Illinois Proof of School Dental Examination Form ( exam must have taken place within 18 months prior to May 15 of the school year).

Please be sure forms are current, complete and signed before submitting.

Last Name*

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First Name*

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State of Illinois Physical Form

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State of Illinois Dental Exam Form

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