Link ot Connecticut Technical High School System main web site E.C. Goodwin Technical High School
735 Slater Road, New Britain, Connecticut 06053  Telephone: (860) 827-7736  Fax: (860) 827-7862

 

HEALTH INFORMATION
FROM THE SCHOOL NURSE

School Nurse - Francine Raineault
Tel. (860) 827-7736 ext. 323

E-mail: Francine.Raineault@ct.gov

Forms
(All forms are in Adobe Acrobat format.
Download the FREE Adobe Acrobat Reader.)

SPORTS
Important Information about Sports Physical
Sports Physical Form - Side A

Sports Physical Form - Side B

Espanol (Spanish)
Importante Nota Sobre Examenes Fisicos de Deportes

Formulario Inter-escolar Atletico con Historial, Consentimiento Paternal y Relevo Medico - A Formulario Inter-escolar Atletico con Historial, Consentimiento Paternal y Relevo Medico - B


GENERAL

Emergency Information for School Nurse Form

Health Assessment Form

Health History and Emergency Contact Form

Immunization Record

Medication Authorization Form

Medical Exemption Form

Notes from the School to Parents/Guardians of Incoming 9th Grade Students

Religious Exemption Form