Physical Examinations

A Physical Examination is required of every student before entering 7th grade. It should be done during the 6th grade. The summer between grades 5 and 6 is also acceptable. During the summer, it can be mailed or dropped off in the school’s main office. It must be completed on the blue HAR-3 form issued by the state of Connecticut. The form is available from the school nurse, in the main office or from this link. The doctor must complete all items which have an asterisk. The parent or guardian must complete the Health Assessment Record on the first page.


All students must show proof of immunizations required by the state of Connecticut before they are allowed to enter school.

7th graders are required to have a second varicella or proof of immunity to chicken pox as well as Tdap, and meningococcal immunizations.

Students entering from out-of-state schools must meet state of Connecticut physical exam and immunization requirements. They may be asked to submit a physical less than one year old.

Students claiming religious or medical exemptions must present an immunization exemption form to the school prior to enrollment.

Re-Admission to School Following Hospitalization/Emergency Room Care

To ensure appropriate care and safety, any student returning to school after Hospitalization/Emergency Department Visit/Physician’s Care of a type that would impact school services, must present a note from the health care provider on the day they return to school.

The note must include the date the student may return to school, any restrictions or limitations required, list any assistive devices necessary (crutches, wheelchair, slings, casts, elastic bandages, splints, etc.), the length of time they will be required, and when the student may return to PE.

Emergency Information Form (Download here)

Forms must be completed by the parent or guardian and returned to school within one week of the start of school. Please complete BOTH sides. The forms provide us with:

  1. Emergency contacts
  2. Permission to administer Tylenol or Motrin
  3. Permission to seek medical care in the event of accident or emergency. This is very important, especially on field trips.
  4. Parents are responsible for keeping this information up to date.


In an effort to curb the spread of illness, please keep your child at home if he or she is ill.

A student running a temperature over 100 or vomiting will be sent home from school and should not return to school for 24 hours after the vomiting has stopped or the fever has returned to normal.

If a student is absent for any reason, their parent or guardian should notify the school by phone on the day of the absence. Providing your child’s symptoms helps the nurse to track illness. Please refer to the district attendance policy.

Gym Excuses

If your child is ill or injured and needs to be excused from gym, a note from the child’s health care provider is required. The nurse will excuse them for one day if she feels it is medically necessary. School policy advises that a child who is able to be in school should be able to participate in gym.


Whenever possible, prescribed medications should be administered at home, before or after school. If a medication must be administered during school hours, we must adhere to state statutes. You will need to provide the following:

  1. An Authorization for the Administration of Medication Form completed by the physician. Forms are available from the nurse or main office. Please note that the form must be signed by both the physician and the parent or guardian.
  2. Medications must be delivered to the school nurse by the parent or guardian. They must be in the original pharmacy container. No more than a 3 month supply can be kept at school. Students are not allowed to transport medications to school.
  3. The only medications students may carry are rescue inhalers and epinephrine cartridge injectors for severe allergies. The authorization form, signed by the parent and the physician must still be submitted to the school nurse. *The self-administration section must also be signed off by the physician and parent.
  4. Medication must be picked up by a parent at the end of the school year. Any medication left beyond one week of the close of school will be destroyed.

Health Requirements for Sports Participation

Two items are required before a student may try out for a sports team. Both must be on file in the nurse’s office.

  1. A physical exam form completed by the health care provider. It must be less than two years old. (Required every two years.) May use the same form as for the pre-7th grade physical listed above.
  2. A health history form completed and signed by the parent or guardian. (Must be submitted yearly) Available in the coach’s sports packet.

Forms may be obtained from the nurse, PE teachers, or main office. Additional permission slips, emergency forms, contracts will be required by the coach.