R.N., BSN, NCSN
10th grade physical is required. Physicals need to be
performed after January 1 of the calendar year the student
enters 10th grade and are due before the end of the student's
10th grade year.
transferring from an out-of-state school must submit results
from a physical exam that is less than one year old.
students are required to show proof of immunization required
by the State of Connecticut. Any student that does not have these immunizations
will not be allowed to attend school. Students claiming religious exception must return
immunization Exemption Form to the health office prior
Emergency Information Forms
Information forms must be completed annually by parents
or guardians prior to the opening of school.
Incomplete or missing emergency or medical information
will result in a withheld schedule.
Parents or guardians must keep the information
on the form up-to-date to facilitate locating parents
in case of illness or emergency.
medication should not be administered during school hours
if it is possible to achieve desired effect by home administration
during non-school hours. If medication has to be administered at school,
we are required to follow Connecticut State Statutes. An authorized prescriber's
written order containing required information is needed
as well as parental/guardian permission.
Medications must be delivered to the school in
their prescribed containers by the parent or responsible
adult. No more
than a 45 day supply may be stored at the school. Forms are available in the school health office.
only medications students may carry and self-administer
in school are inhalers for asthma and/or EpiPens used
for severe allergies.
These medications also require a prescriber's
written order and parent/guardian permission.
The authorizations must be submitted to the school
Re-admission to school following Hospital/Emergency
ensure a smooth transition and appropriate care, students
returning to school after Hospital/Emergency room or Physician
office care of the type that would impact school services
and student safety must present a note from the Hospital/Emergency
note must include: Date
student may return to school, and any restrictions, limitations,
or assistive devices necessary, (crutches, wheelchair,
sling, etc.,) and length of time necessary.
In order to maximize student safety, no student
will be allowed to attend school without written physician
authorization and guidelines.
Students requiring assistive devices or returning
to school following Hospital or Emergency room care must
be signed into school through the Health Office.
HEALTH REQUIREMENTS TO PLAY SPORTS AT
the following forms to the school nurse:
Physical Assessment Form
physical must be less than two years old clearing the
athlete for sports participation.
A sports physical form or the state blue form is
Health History Form
health history form must be completed and signed by the
parent and student each year.
The school nurse and/or medical advisor will review
the information. If
indicated, the athlete may be required to be seen by his/her
family physician or present documentation from their physician
before being medically cleared for participation.
(Example: the medical advisor may want details about a
the physical and health history forms are required before
refer to the Parent and Student Handbook for additional