QUESTIONS & ANSWERS REGARDING SCHOOL HEALTH RECORD ISSUES
1. Can a nurse practitioner or physician’s assistant sign the Child Health Examination form”?
RESPONSE: Section 27-8.1 in the School Code of Illinois was amended on July 19, 2002 (Public Act 92-0703) to allow advanced practice nurses (APNs) and physician assistants (PAs) who perform a health examination to sign the health exam form. The APN or PA must have signed the health examination form on or after the effective date of the Act (7/19/02) for it to be acceptable.
If a person other than an APN or PA has sign-off authority from the physician, can they sign the physician’s name and then their name on the health exam form? RESPONSE: No. Section 27-8.1 in the School Code of Illinois states that if anyone
other than a physician, APN or PA performs any part of a health examination, then a physician must review and sign all required forms.
2. If the “Certificate of Child Health Examination”form has a physician stamp instead of an actual signature, is this acceptable? RESPONSE: Yes, if a physician signature stamp is used.
3. Who can sign the Immunization History portion of the “Certificate of Child Health Examination” form? RESPONSE: Physician, nurse in physician’s office, school nurse, record keeper in
schools, local health agency, etc.
Is a local health department stamp acceptable?
RESPONSE: No. A local health department stamp will ONLY be acceptable if the Immunization History portion of the health form was stamped prior to the 2002-2003 school year (i.e. health forms stamped during or before the 2001-2002 school year will be “grandfathered” in).