Health Services

The School Health Program provides consultation to school nurses, school nurse leaders, school administrators and the community regarding the health and safety of students. This consultation and technical assistance includes addressing the provisions of health services during the school day and the promotion of health and wellness activities that support student achievement.

Forms & Requirements


Immunization requirements for newly enrolled students, published by the State of Connecticut Department of Public Health.

Religious Exemption Statement



Physical exam needed on yellow CT Early Childhood Health Assessment Record before student may enter school.

Preschool Health Assessment Form


Physical exam needed on blue CT Health Assessment Record before entry to school.

Grade 6

Physical exam durring the 6th grade year (summer before grade 6 through end of school year). Need physical for entry to grade 7.

Grade 10

Physical exam durring the 10th grade year (summer before 10the grade through the end of school year). Need physical for entry to grade 11.


A current Physical form is required every 13 months. The History / Consent form is required for each sport annually.

Definition of School Nursing:*

School nursing, a specialized practice of public health nursing, protects and promotes student health, facilitates normal development, and advances academic success. School nurses, grounded in ethical and evidence-based practice, are the leaders that bridge health care and education, provide care coordination, advocate for quality student-centered care, and collaborate to design systems that allow individuals and communities to develop their full potentials.

*Approved by the NASN Board of Directors June 2016.

Administration of Medication at School

The State of Connecticut has definitive regulations (Sec.10-212a-5) regarding administration of medication in schools. If it is necessary for your child to take medication during school hours, these are the steps for you to follow to facilitate the procedure and to meet the State regulations:

The prescribing physician or dentist, licensed to practice in this or any other state, or advance practice registered nurse (APRN) or physician assistant (PA), must submit a written order for each medication. Forms for these orders are available from the school's health office.

The parent or guardian must also sign the written authorization for medication.

Authorization for Administration of Medication by School Personnel

Food Allergy Treatment Plan 6-13

Medication Authorization

The parent or guardian or other responsible adult must deliver the medication directly to the nurse or principal. Controlled substances must be counted with the nurse or in her absence, the principal, at the time of delivery.

Medications must be brought into school in an original over-the-counter container or an original pharmacy container labeled with name of student, name of prescribing physician, date of original prescription, name and strength of medication and directions for administering. No more than a 45 school day supply of medication will be kept in school.