Health Assessments
Health Assessments (including vaccination status) must be completed/updated for all newly enrolled students. Please fax: 1(860)283-0552, mail, email [email protected] or Upload your completed forms to the school. Thank you!
Please review the below forms and acknowledge/proceed below.
Vaccination Status
Influenza Vaccination
The State of Connecticut Dept. of Public Heath requires all students between 24 to 59 months (4.9 yrs) of age to receive the influenza vaccination (read DPH Q&A). Since most flu vaccines are available in the fall, we will require documentation from your primary care doctor when your child receives his/her vaccine.
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Connecticut Immunization school entry requirements require that students whose initial immunizations have been given but additional required immunizations are in process are to submit the Healthcare Provider’s Certification of In Process Required School Immunizations from the student’s physician, physician assistant (PA) or advance practice registered nurse (APRN) that the additional immunizations are in process in accord with guidelines and schedule specified by the Commissioner of Public Health.
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Medical Exemption Certificate should be used by healthcare providers submitting a medical exemption for a child or student attending a CT child care program, elementary, middle, high school, or higher education.
Authorization for Administration of Medication Form
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Students receiving or taking any medication (including over the counter drugs) during school hours must have form signed by physician.
Allergy Action Plan
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Students that have an allergy that may need treatment at school, an allergy action plan must be completed to act as a guide. Parent and Doctor signatures are required.
