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 - Side A Sports Physical Form - Side B GENERAL Health Assessment Form Immunization Record Medical Exemption Form Medicine Authorization Form Religious Exemption Form
HUSKY - Healthcare for Uninsured Kids and Youth
