HEALTH INFORMATION FROM THE SCHOOL NURSE
School Nurse - Ann Dacek Tel. (860) 448-0220 ext. 326 FAX (860) 405-1856 E-mail: Ann.Dacek@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 GENERAL Health Assessment Record (HAR3) Immunization Record Medical Exemption Form Medicine Authorization Form Religious Exemption Form
HUSKY - Healthcare for Uninsured Kids and Youth