Connecticut Technical High School System

Eli Whitney Technical High School, 71 Jones Road, Hamden, CT 06514
 
Telephone: (203) 397-4031, FAX (203) 397-4129

Connecticut State Department of Education

HEALTH INFORMATION
FROM THE SCHOOL NURSE

School Nurse - Palma Shea
Telephone: (203) 397-4031 ext. 323
E-mail:
Palma.Shea@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
Please Read If Your Child Has Allergies (Printable Version)
Health Assessment Form
Immunization Record
Medical Exemption Form
Medicine Authorization Form
Religious Exemption Form