Mrs. Sandy Belisle, R.N., BSN, NCSN
(860) 642-7673
sandy.belisle@lebanonct.org
Fax 860-642-3570

 HEALTH SERVICES

 Physical Examinations

A 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.

 Students transferring from an out-of-state school must submit results from a physical exam that is less than one year old.

 Immunizations

All 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 to enrollment.

Emergency Information Forms

Emergency 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

Prescribed 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.

The 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 nurse

 Re-admission to school following Hospital/Emergency Room/Physician care.

To 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 Room/Physician.  This 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.

Submit the following forms to the school nurse:

Physical Assessment Form

The physical must be less than two years old clearing the athlete for sports participation.  A sports physical form or the state blue form is acceptable.

Health History Form

A 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 heart murmur).

 Both the physical and health history forms are required before tryouts.

 Please refer to the Parent and Student Handbook for additional health information.