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IDPH Forms

Certificate of Child

Health Examination

Dental Exam Proof

Eye Exam Proof    

District Forms

District Insurance

Medication Form    

Health History Form

All updated IHSA forms, including pre-participation examination forms can be found at:


Pre-participation Physical

If you have any questions, please contact your school nurse through the school office:

Alina Carner

- Nurse, Bluffview

618-286-3311 ext 3219

[email protected]

Kendra Koonce

- Nurse, JH/HS

618-286-3214 ext 4135

[email protected]

Danielle Harget

- Nurse, JH/HS

618-286-3214 ext 4135

[email protected]

Health Requirements for Dupo Fall 2021-22 Registration

Parent's Guide to Childhood Immunizations

Growing Up With Vaccines: What Should Parents Know

Meningococcal Vaccines for Preteens and Teens

Immunization Report 2017-18

Immunization Report 2018-19

Immunization Report 2019-20

Immunization Report 2020-21

The Flu: A Guide for Parents

Flu Vaccine for Preteens and Teens

Dental Safari Company, a mobile dental corporation, travels to schools to provide dental wellness checkups, and urgent care treatment, for children of all ages (pre-K through 12th grade).

Next visit:

August 24 and 25, 2021

Steps to Sign-up for Dental Safari

  1. Complete the Online Dental Safari Consent Form
  2. Send a courtesy email to your school nurse letting them know you signed-up or forward your confirmation email from Dental Safari. Thank you!

Paper Dental Safari Consent Form

What's Your Cost? Form

Online Dental Safari Consent Form

Eligible Children:

Children with a Medicaid / All Kids Identification number

Children who are on free or reduced lunch program

Children with private insurance (provide information)

Child with cash payment (cash or check)

($68 – includes exam, cleaning, fluoride, sealants as needed)

PLEASE NOTE: If your child is in Kindergarten, 2nd, 6th, or 9th grade, the State of Illinois does requires a dental exam to be on file. This appointment fulfills that obligation.

Following your child’s treatment, a letter will be sent home indicating the treatment your child received during our visit as well as follow-up treatment he/she may need.

To take part in this service, please complete and return the consent form to the school nurse.

If you have any questions, please contact the nurse's office.


-Alina Carner

Bluffview Nurse

618-286-3311 x 3219

-Kendra Koonce

JH & HS Nurse

618-286-3814 x 4135

COVID-19 Dashboard

In order to fully communicate with the Dupo CUSD 196 Community, the District will maintain the COVID-19 Dashboard below. The dashboard contains building specific and district-wide COVID statistics updated each Friday by Noon. No personally identifiable information is shared in this dashboard.

Current Positive: A staff member or student currently isolated due to a lab-confirmed positive COVID-19 test

Recovered Staff members/Students: A staff member or student who has recovered from COVID-19 and has returned to school.

Currently in Quarantine: A staff member or student who is currently in a 14-day self-quarantine due to having close contact with someone who tested positive for COVID-19.

Released from Quarantine: A student or staff member who has returned to school from a 14-day self-quarantine due to having close contact with someone who tested positive for COVID-19.

Close Contact is defined as being within six feet of an individual who tested positive for COVID-19 for more than 15 minutes in a 24 hour period.

Once a positive case is reported, contact tracing takes place for the two days prior to the onset of symptoms or two days prior to the positive test result, if symptoms were not present.