Health Office Medical Forms

State of CT Health Assessment Record.pdf 

Required for all students new to the school, and for all students entering 6th grade. 


Authorization for Admin of Medicines.pdf 

Required for the nurse to administer medications to a student during school hours.

State of CT Immunization Requirement

Immunization Requirements forEnrolled Students in Connecticut Schools

 State Immunization Requirements.pdf 

Medication Policy

State law requires a physician's written order and parent/guardian authorization for all prescription and non-prescription medications to be administered at school. If it is absolutely necessary that your child use medication during school hours, the medication must be in the original container, with the pharmacy label attached and the Medical Authorization Form from the physician. Over the counter medications must be labeled with the child's name, in the original container and be accompanied by the Medication Authorization Form from the physician. Medications must be delivered to the school nurse or office by a parent/guardian. No child is to bring in medication and none will be sent home with a child.


If you need the nurse to administer medication to your child at school, please complete the following form and return it to the nurse.

 Authorization for Admin of Medicines.pdf 

Emergency Information

Up-to-date information is vital in case of an emergency. Please notify the Health Office of any health or medication changes throughout the school year. Also, please notify the school with any emergency contact phone number changes. These are all important for the health and safety of your child.

Food shared with classmates

Food shared with classmates must contain NO peanuts, peanut butter, peanut oil or any other nut. There are some children with life threatening allergies to these products. Please check ingredient labels carefully. These items are in many foods you would not expect.

A peanut free table is available in the cafeteria for any students wishing to sit there at lunch. In addition, a list of other food allergies in your student's class may be provided to parents if necessary.

Health Screenings

All students will have vision and hearing screenings in the fall, according to state requirements. Postural (scoliosis) screening is done in March for students in Grades 5 through 8. Parents will be notified of any screening failures.

Doctor's Notes

If your child is injured or has a medical condition that requires being excused from gym class or other physical activities, the parent must obtain a doctor's note stating the child's diagnosis, the reason why he/she is to be excused and for how long.

Reporting Absences

Please call the school in the morning by 9:00 a.m. if your child will not be in school. If a student is absent and no call has been received, the school nurse will call home/work for confirmation.