State of illinois physical form for adults: Fill out & sign online

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Click ‘Get Form’ to open the state of Illinois physical form for adults in our editor.
Begin by entering the student’s name, birth date, sex, and race/ethnicity in the designated fields. Ensure accuracy as this information is crucial for identification.
Fill in the school, grade level, and ID number. This helps link the health examination to the correct educational institution.
Complete the address section with street, city, and zip code. Include parent or guardian contact details for any necessary follow-up.
In the immunizations section, have a healthcare provider fill out each vaccine administered along with dates. If any vaccines are contraindicated, attach a written statement explaining why.
Ensure that a healthcare provider signs and dates the form at the bottom to verify all provided information is accurate.

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