Get the free Certificate of Child Health Examination

This document is used to record a child's health examination, immunization history, health history, vision, and hearing screening, and approval for physical education and sports participation.

How to fill out certificate of child health

How to fill out Certificate of Child Health Examination

1. Obtain the Certificate of Child Health Examination form from your healthcare provider or school.
2. Fill in the child's personal details including name, date of birth, and address.
3. Provide information regarding the child's medical history, including any chronic conditions or allergies.
4. Record the results of the child's physical examination performed by a licensed healthcare professional.
5. Include immunization records, ensuring all vaccinations are up to date.
6. Have the healthcare professional sign and date the certificate to validate the examination.
7. Keep a copy for your records and submit the original as required.

Who needs Certificate of Child Health Examination?

1. Children who are enrolling in school for the first time.
2. Children participating in sports or recreational programs.
3. Children attending daycare or any early childhood education program.
4. Parents or guardians seeking proof of child’s health for travel or custody purposes.

People Also Ask about

How long is a school physical valid for?

With the new school year fast approaching, it's important to make sure your child's school physical is current. These exams are usually valid for a year, which means if your child hasn't had one recently, it might be time to schedule a visit.

Can a sports physical expire?

Keep in mind, a physical expires 365 days from the date.

How long is a sports physical good for in Illinois?

Sports physicals are valid for 395 calendar days from the date the physical was issued.

How long is a sports physical good for?

Sports physicals are usually good for 1 year, though you probably will have to complete a sports form each season. If there are any changes in your health history, like a new injury or you notice new symptoms (such as chest pain or shortness of breath), you may need to see the doctor before being allowed to play.

Why do schools ask for physicals?

While not all schools require annual school physicals, all health experts recommend them to make sure your child is maintaining healthy growth and development, discuss safety, manage medications, and detect health concerns early.

For pdfFiller’s FAQs

What is Certificate of Child Health Examination?

The Certificate of Child Health Examination is a document that indicates a child's health status, confirming whether they are fit for school or other activities.

Who is required to file Certificate of Child Health Examination?

Typically, parents or guardians of school-age children or children entering daycare or preschool are required to file this certificate.

How to fill out Certificate of Child Health Examination?

To fill out the Certificate of Child Health Examination, a healthcare provider must complete the necessary sections, including the child's personal information, health history, and results of a physical examination.

What is the purpose of Certificate of Child Health Examination?

The purpose of the Certificate of Child Health Examination is to ensure that children are in good health and to identify any medical conditions that may need attention before they participate in school or group activities.

What information must be reported on Certificate of Child Health Examination?

The Certificate must report information such as the child's name, date of birth, results of the physical examination, immunization status, and any relevant medical history.