Socio-Emotional and Developmental
Updates on Child Health Exam Form
Miranda Scott, MBA, MALS, BSN, RN, LNC
ISBE School Nurse Bootcamp
August 7, 2023
I DO NOT have a financial
interest/arrangement or affiliation with one
or more organizations that could be
perceived as a real or apparent conflict of
interest in the context of the subject of this
presentation.
Disclosures
Information about Public Act 99‐0927
(Social-Emotional and Developmental Screening)
• Requires IDPH to:
• Develop and implement administrative rules to include an
age‐appropriate developmental screening and an
age‐appropriate social-emotional screening as part of the
health examination for all school children in Illinois.
• Revise the Child Health Examination form.
• Ensure that the required screening is consistent with the
ISBE’s (Illinois State Board of Education) social-emotional
and developmental learning standards.
On May 4, 2022-the adoption of the Illinois Administrative
Code 664 (77 Ill Admin. Code 664) was signed by the acting
IDPH Director.
You may access the
Administrative Code at:
https://ilga.gov/commission
/jcar/admincode/077/0770
0664sections.html
Each Section of the Code
has a hyperlink portion
you may click to expand
for additional information.
Current Form
https://dph.illinois.gov/content/dam/soi/en/web/idph/files/forms/certificate-ofchild-
health-examination-03032017.pdf
Health examinations
shall be reported on
the Certificate of
Child Health
Examination form
that the Department
of Public Health and
the Illinois State
Board of Education
prescribe for
statewide use.
11/2015
New Draft Version Form
Health history was
moved to the top of
the form. This might
assist with parents
and guardians filling
out their portion of
the form. Contains
the exact same
information as before.
Nothing has been
changed except the
location on the form.
Moving Forward
• IDPH has revamped the IDPH School Health Program home
page. You may submit a request to IDPH to review age-
appropriate developmental or social-emotional screening tools
• IDPH in collaboration with ISBE has provided a two-page
document to answer some of the commonly asked questions.
• Validated tools will be posted on the IDPH School Health
Program home page once they are approved.
• You may submit additional questions to DPH.SEL@illinois.gov
since this topic will continue to evolve.
https://dph.illinois.gov/topics-services/life-stages-populations/maternal-child-family-health-
services/school-health.html
Questions From the Field…
Question:
Who can administer the screenings in
a School?
Question:
Can a School Nurse perform the screenings
in School?
Only if the School Nurse has the additional credentials as outlined
in Section 110 of Admin. Code 664.
Question:
Where can I find the approved screening tools
that may be used by health care providers?
• IDPH has revamped the IDPH School Health Program home
page. You may submit a request to IDPH to review age-
appropriate developmental or social-emotional screening tools
• Validated tools will be posted on the IDPH School Health
Program home page once they are approved.
https://dph.illinois.gov/topics-services/life-stages-populations/maternal-child-
family-health-services/school-health.html
Question:
Can a Health Care Provider complete the
screening as part of the child health exam?
Yes. A “Health Care Provider” or “health provider” is defined to
mean a physician, advanced practice registered nurse or physician
assistant who is authorized to conduct health examinations under
Section 27-8.1(2) of the School Code [105 ILCS 5].
Question:
Should the results of the screening be placed on
the Child Health Exam Form?
Question:
Can the Illinois Child Health Exam Form dated
11/2015 be accepted for the School Year 2023-24?
The IDPH Office of Women’s Health and Family Services
and ISBE have decided that for this school year (2023-
24), the form dated 11/2015 will be accepted.
https://dph.illinois.gov/content/dam/soi/en/web/idph/files/forms/certificate-ofchild-
health-examination-03032017.pdf
Question:
When will ISBE and IDPH require the use of the
updated Child Health Exam Form?
The IDPH Office of Women’s Health and Family Services
and ISBE are working together to update the form. The
new form shall be available before January 1, 2024 on
the IDPH Office of Women’s Health and Family Services
website. Starting after January 1, 2024, a provider should
utilize the updated form. However, Child Health Exam
Forms that are completed on the form (dated 11/2015)
can be accepted until January 1, 2025.
Question:
Will Social-Emotional or Developmental screening
appear in IWAS-Student Health Data
Immunization Collection for 2023-2024?
No changes to the IWAS Student Health Data
Immunization Collection data points are planned for the
2023-24 school year.
Question:
Can the school see the results of the screening?
According to Section 664.130 of the Social-Emotional and
Developmental Screening Code: “Screening Results may,
with the written consent of the parent, be shared with
the local school authority. Results of screenings shall not
be recorded on the Certificate of Child Health
Examination.”
Question:
What should I do if the screening section is not
completed or left blank on the Child Health Exam
form?
According to Section 664.140 of the Social-Emotional and
Developmental Screening Code, a child shall not be excluded
from school if a parent or guardian fails to present proof of the
Social-Emotional or Developmental screening. A qualified
person within the school may offer and conduct either screening
with parental/guardian permission.
Additional Questions?
Miranda Scott
School Health Program Administrator
Miranda.J.Scot[email protected]v
https://dph.illinois.gov/topics-services/life-stages-populations/maternal-child-family-
health-services/school-health.html
