[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-537161-105":3,"detail-sidebar-cat-0-en-105":81,"doc-detail-537161-en":131},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","religious-exemptions-qa-child-health-examination-requirements","Religious Exemptions - Q&A - Child Health Examination Requirements","","Q&A addresses Illinois child health examination obligations, focusing on religious exemptions and required screenings. It explains when a Certificate of Religious Exemption must be completed, signed, and submitted before kindergarten, 6th, and 9th grades, and whether exemption forms are needed after homeschooling. It also covers options when parents object to vaccines, lead and diabetes screening responsibilities, TB risk assessment and testing documentation, and rules for out-of-state and foreign exchange physical exam acceptance with timing and required elements.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/religious-exemptions-qa-child-health-examination-requirements/537161/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/religious-exemptions-qa-child-health-examination-requirements/537161.png","ImageObject",300,407,{"name":42,"@type":43},"Guten tag","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-11-12","2026-10-10",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",11,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What must parents submit to claim a religious exemption from the physical exam in Illinois?","Question",{"text":63,"@type":64},"Parents/guardians must present a signed Certificate of Exemption under Section 665.510 detailing their objections on religious grounds. The Certificate of Religious Exemption must be signed by the responsible health care provider confirming education was provided to the parent/guardian on benefits and health risks, and submitted prior to entering grades K, 6 and 9.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"If a student had a religious exemption, then was homeschooled, and returned to the district, is a new religious exemption form required?",{"text":68,"@type":64},"No. Section 665.510 requires submission of the Certificate of Religious Exemption to the local school authority prior to entering grades K, 6 and 9, and the question indicates the exemption obligation is tied to those grade entry points.",{"name":70,"@type":61,"acceptedAnswer":71},"How should lead screening be handled for children in low-risk vs high-risk areas?",{"text":72,"@type":64},"The lead section must be completed with a risk assessment using the Lead Risk Assessment Questionnaire for children who live in areas defined as low risk by IDPH. For children in high-risk areas, the child must be screened via Blood Lead Tested for lead poisoning. The lead section is required for children 1–7 years of age.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},537161,1791650288,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,106,110,115,120,123,127],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":98,"show_sort_weight":99,"slug":100},5,"Comic",60,"comic",{"id":102,"doc_module":4,"doc_module_name":25,"category_name":103,"show_sort_weight":104,"slug":105},6,"Technology",50,"technology",{"id":107,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":108,"slug":109},7,40,"healthcare",{"id":111,"doc_module":4,"doc_module_name":25,"category_name":112,"show_sort_weight":113,"slug":114},8,"Research & Report",30,"research-report",{"id":116,"doc_module":4,"doc_module_name":25,"category_name":117,"show_sort_weight":118,"slug":119},9,"Religion & Spirituality",20,"religion-spirituality",{"id":118,"doc_module":4,"doc_module_name":25,"category_name":121,"show_sort_weight":118,"slug":122},"World Cup","world-cup",{"id":124,"doc_module":4,"doc_module_name":25,"category_name":125,"show_sort_weight":124,"slug":126},10,"Lifestyle","lifestyle",{"id":128,"doc_module":4,"doc_module_name":25,"category_name":129,"show_sort_weight":97,"slug":130},19,"General","general",{"code":4,"msg":82,"data":132},{"doc_id":79,"user_id":133,"nickname":42,"user_avatar":134,"doc_module":4,"category_id":107,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":102,"language":140,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":12,"update_tm":144,"read_time":145,"preview_page_count":4},687212321768,"https://ap-avatar.wpscdn.com/avatar/a0010bdbe886d2fe77?x-image-process=image/resize,m_fixed,w_180,h_180&k=1789897067658708522","Religious Exemptions  \n1. Can a student in IL have a religious exemption from the physical if all the proper paperwork is filled out?  \nPer Section 665.510, if a parent/guardian objects to a health examination on religious grounds they must present a signed Certificate of Exemption detailing grounds for the objections. The Certificate of Religious Exemption must be signed by the health care provider responsible for the health exam confirming education was provided to the parent/guardian on benefits and health risks. The Certificate of Religious Exemption must be submitted prior to entering grade levels K, 6 and 9.  \n2. If a student was in 3rd grade with a religious exemption then homeschooled for 4th grade then returned to the district for 5th grade, is a new religious exemption form needed?  \nNo. Section 665.510 states parents or legal guardians must submit the Certificate of Religious Exemption to their local school authority prior to entering grades K, 6 and 9.  \n3. Parents are having trouble in our district finding a provider who will do a physical exam if the parent objects to vaccines. Options?  \nThe child health examination is a requirement; therefore, the parent/guardian should look for another physician.  \nLead screening & Tuberculosis Screening  \n4. A school nurse can complete the lead portion with the questionnaire. Can the school nurse  \ncomplete the DM section by questioning the family of ethnicity, assess the BMI and other criteria to complete that portion as well?  \nThe Diabetes screening is a required component of the Child Health Exam. If a school nurse completes that section, it must be reviewed and signed according to Section 665.130 of the Child Health Examination Code, a physician is required to review and sign any portion of the Certificate of Child Health Examination completed by a registered nurse who is not an advanced practice nurse.  \nIn regards to the lead section, the Lead Poisoning Prevention Code, Section 845.55, permits a nurse as a health care provider to perform the Lead Risk Questionnaire. The school nurse may perform the Lead Risk Questionnaire then refer the student to the provider if a blood test is indicated.  \n5. The lead questionnaire should be completed on all children 1-7 regardless of level of risk, but the blood test is only indicated if the child is at high risk? is that right?  \nYes. Per Section 665.140 lead screening is a required part of the health examination for children 1-7 years of age. The lead section must be completed indicating that the child has been riskassessed using the Lead Risk Assessment Questionnaire if the child resides in an area defined as low risk by the Department (IDPH), or screened (Blood Lead Tested) for lead poisoning if the child resides in an area defined as high risk. (Section 6.2 of the Lead Poisoning Prevention Act ) .  \n6. Can you clarify the lead and TB requirements? I thought it was said that the screen was required only if the student lives in a high-risk area as designated by IDPH?  \nThe lead section must be completed indicating that the child has been risk-assessed using the Lead Risk Assessment Questionnaire if the child resides in an area defined as low risk by the Department (IDPH), or  \nscreened (Blood Lead Tested) for lead poisoning if the child resides in an area defined as high risk. (Section 6.2 of the Lead Poisoning Prevention Act ) .  \nThe health care provider must complete the TB section indicating that the child was assessed for risk of tuberculosis and indicate whether a test is not need or if a test was performed.  \n7. Where can we find out if an area is identified as high risk for TB?  \nRefer to the Tuberculosis Risk Assessment Form.  \nOut of state physical exam requirements  \n8. What if you are a 5th grader and moved to IL from AZ. The new student has a kind. physical from AZ. Does that suffice? Or does the student need a new physical because entry into IL?  \nOut of state forms are accepted only for students transferring into I","cbCail3npE6eiASh","https://ap.wps.com/l/cbCail3npE6eiASh","pdf",311328,"English","# Religious Exemptions\n## Religious exemption forms and submission timing\n## Vaccine objection options\n# Lead Screening & Tuberculosis Screening\n## Lead questionnaire vs blood testing\n## Diabetes screening review and signatures\n## TB risk assessment and testing\n# Out of state physical exam requirements\n## Transfer timing and required elements\n## Foreign exchange students\n# In-State transfer or re-entry to Illinois school\n## Updated exams for returning students\n# Health history\n## Verbal vs signed health history","[{\"question\":\"What must parents submit to claim a religious exemption from the physical exam in Illinois?\",\"answer\":\"Parents/guardians must present a signed Certificate of Exemption under Section 665.510 detailing their objections on religious grounds. The Certificate of Religious Exemption must be signed by the responsible health care provider confirming education was provided to the parent/guardian on benefits and health risks, and submitted prior to entering grades K, 6 and 9.\"},{\"question\":\"If a student had a religious exemption, then was homeschooled, and returned to the district, is a new religious exemption form required?\",\"answer\":\"No. Section 665.510 requires submission of the Certificate of Religious Exemption to the local school authority prior to entering grades K, 6 and 9, and the question indicates the exemption obligation is tied to those grade entry points.\"},{\"question\":\"How should lead screening be handled for children in low-risk vs high-risk areas?\",\"answer\":\"The lead section must be completed with a risk assessment using the Lead Risk Assessment Questionnaire for children who live in areas defined as low risk by IDPH. For children in high-risk areas, the child must be screened via Blood Lead Tested for lead poisoning. The lead section is required for children 1–7 years of age.\"}]","Religious Exemptions - Q&A - Child Health Examination Requirements | PDF",1791604108,15]