HEALTH INFORMATION FROM THE SCHOOL NURSE
School Nurse - Mary Ann Ciambriello Telephone: (203) 324-7363 ext. 326 E-mail: MaryAnn.Ciambriello@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
Espanol (Spanish) Importante Nota Sobre Examenes Fisicos de Deportes Formulario Inter-escolar Atletico con Historial, Consentimiento Paternal y Relevo Medico GENERAL Health Assessment Record (HAR3) Immunization Record Medical Exemption Form Medicine Authorization Form Religious Exemption Form
Husky - Healthcare for Uninsured Kids and Youth