STUDENT MEDICAL RECORDS NEEDED

 

Parents/Guardians of Seniors/Class of 2020:

Please send documentation that your student has received the state required meningococcal vaccination to Dr. Scerbicke ASAP. Record of this vaccination needs to be on file before the first day of classes. 
*Click to download vaccination documentation form.

 

Parents/Guardians of Freshmen/Class of 2023:

Please send a copy of your student's physical and complete immunization record to Dr. Scerbicke as soon as possible. Your student's complete record must be on file by the first day of classes. Freshmen also need to complete a dental exam and have it on file before the first day of classes 
*Click to download mandatory physical and immunization record form.

*Click to download mandatory dental exam form.

 

Sports Physical Form

Eye Exam Report

The ONLY students who are required to complete an eye exam are those students entering into the state of Illinois schools for the first time.

Questions? Contact Dr. Scerbicke at dscerbicke@saintviator.com or ext. 269. Email or mail via USPS.