Nurse’s Office
Jil Van Utrecht
For almost two decades Jil Van Utrecht has been a registered nurse providing inpatient and critical care. This year, she becomes the school nurse at North Mahaska. She has spent 19 years in healthcare most recently at Mahaska Health working on the inpatient and critical care units. She received her degree Iowa Wesleyan University. She has been married to husband Matt for 15 years and is the mother to three boys ages 13, 10, and 7.
Email: vanutrechtji@nmwarhawks.org
Phone: 641-637-4187
Health Forms
Immunization Exemptions
MEDICAL EXEMPTION
A medical exemption may be granted if a health care provider believes immunization(s) would be harmful to the child or a member of the child’s household. To be valid, the Certificate of Immunization Exemption must be completed and signed by a physician (MD or DO), physician’s assistant or nurse practitioner. The Certificate of Immunization Exemption must be submitted to the licensed child care center or school the child attends.
RELIGIOUS EXEMPTION
A religious exemption may be granted if immunizations conflict with a religious belief and is not based on scientific, medical or personal opinion. To be valid, the Certificate of Immunization Exemption must be completed with the name and birth date of the child and signed by the individual or the child’s parent or guardian and must be notarized. The Certificate of Immunization Exemption must be submitted to the licensed child care center or school the child attends.