• 1370 N. RIVERWOODS ROAD
  • LINCOLNSHIRE, IL 60069
  • 8:00 AM - 4:00 PM MON-FRI
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Mandated Medical Forms Due Now
Posted 08/06/2018 06:00AM

Lincolnshire-Prairie View School District 103 staff hopes this email finds students getting excited about returning to school. If you haven't done so already, please turn in your completed medical forms to your child's school. Forms are available on the district website or from your doctor's office.

Required for incoming kindergartners:

  • Completed physical exam form with verification of immunizations
  • Completed dental exam form
  • Completed eye exam form (New students moving into the district from another Illinois school district may disregard this form.)

Required for incoming second graders:

  • Completed dental exam form

Required for incoming sixth graders:

  • Completed dental exam form
  • Completed physical exam form with verification of immunizations

Required for students new to D103:

  • Completed physical exam form with verification of immunizations
  • Completed dental exam form
  • Completed eye exam form (New students moving into the district from another Illinois district may disregard this form.)

Proof of state mandated physicals, exams, and immunizations are due to the D103 nurses before the start of the school year, which begins Monday, August 20. D103 does not allow children to attend school until medical paperwork is on file with the nurse. Your prompt attention to these requirements will help provide a smooth transition to school for your child.

Please drop off, email, or fax paperwork to:

For more information, visit the district's Health and Wellness website linked here for forms and answers to questions.


  • Our Mission:
  • To provide innovative learning experiences which empower each student to excel and make a difference in a diverse and interconnected world.
  • 1370 N. RIVERWOODS ROAD
  • LINCOLNSHIRE, IL 60069
  • 8:00 AM - 4:00 PM MON-FRI
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