link to Connecticut Technical High School System web site
Vinal Technical High School, 60 Daniels Street, Middletown, CT 06457
 
Telephone: (860) 344-7100, FAX: (860) 344-2622

 

SCHOOL NURSE

Debra Ismael

 

Debra Ismail
Telephone: (860) 344-7100 Ext. 318
E-mail: Debra.Ismail@ct.gov

The health office has a new secure (confidential) fax line.
Please fax all medical notes and forms to: 860-344-2232

Concussion in High School Sports:  A Fact Sheet for Parents

FORMS
(All of the 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)
Health History, Emergency Contact and Non-Prescription Medication Form
Immunization Record
Medication Authorization Form
Medical Exemption Form
Religious Exemption Form

Husky - Healthcare for Uninsured Kids and Youth