Health Services

Health Documents and Forms

  1. COVID-19 Self Assessment
  2. Immunization Requirements
  3. Health Assessment Record
  4. Early Childhood Health Assessment Record-For children ages birth–5
  5. Addendum Husky B updated 06/2022
  6. Authorization of Medicine
  7. Physical Form
  8. Sick Day Guidelines
  9. TB Assessment Form Page 1
  10. TB Assessment Form Page 2
  11. MPS HEALTH SERVICES 7.26.22

middle school forms

  1. Permission to Administer Tylenol or Ibuprofen
  2. Scoliosis Screening Letter/Deferral Form for Parents/Guardians
  3. Sports Physical Form

Helpful Links

   
Husky B Addendum Updated information on Husky insurance
CT.Gov portal  Official State Website
United Way  United Way of Northeastern CT