February 8, 2021
Connecticut State law requires each student in grade 10 to have a PHYSICAL EXAMINATION performed by a MD, APRN, DO, or PA. Tenth grade physical examinations are due by the end of 10th grade/before entry to the eleventh grade.
Forms (State of CT, blue, HAR-3, rev 07/2018) are available in the DHHS Health Office & online at:
https://portal.ct.gov/-/media/SDE/School-Nursing/Forms/HAR3_2018.pdf
Please note, there is an Oral Assessment portion that we request also be completed by your health care provider or dentist.
If you have any questions, please contact Stephanie Lesnik, RN or Mrs. Pat Drake, Health Paraprofessional at 203-245-6370 or email lesniks@madison.k12.ct.us or drakep@madison.k12.ct.us
Thank you.
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