SCHOOL NURSE
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
SPORTS Important Information about Sports Physical (Note: The Interscholastic Athletics Health History, Permission & Physician’s Release Form must be signed by both parent and student's medical provider. A copy of the most recent physical exam must also be attached and returned to the School Nurse) Interscholastic Athletics Health History, Permission & Physician’s Release Form Health Assessment Record (HAR3) 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 - Healthy Children.org