Nurses and Health Forms

Riverton Elementary School Nurse: Bobbi Balding, 217-629-6001, ext. 343
Riverton Middle and High School Nurse: Ashlee Bell, 217-629-6002, ext 229

Physical and Immunization Requirements for Students

For students below Kindergarten, Click Here.

For students entering Kindergarden, Click Here.

For students entering Second grade, Click Here.

For students entering Sixth grade, Click Here.

For students entering Ninth grade, Click Here.

For students entering Twelfth grade, Click Here.

Health forms are available by clicking on the links below:

Asthma Medication Authorization Form

Child Health Examination Form and Immunization Record

Concussion Fact Sheet for Parents

Dental Exam Form

Eye Examination Form

Food Allergy Action Plan Treatment Authorization

Food Substitution Form

Impact Testing

Medication Authorization Form

Self Administration of Asthma Medication Authorization

Sports Pre-Participation Form

For information about head lice, Click Here.


Immunization requirements from Illinois State Board of Education. 

Board Policy for Health, Eye, and Dental Examinations; Immunizations; and Exclusion of Students. 

2018-2019 Riverton CUSD 14 - Immunization Data