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Health Forms and Nursing Information

Physical exam requirements and forms
Pre-K/early childhood (yellow form)
Health Assessment (blue form)
Immunization requirements
Medical exemption form
Religious exemption form

Medication order forms
Medication/doctor order
Asthma Action Plan
Allergy treatment plan
Standing orders

Immunization exemption forms
Medical exemption form
Religious exemption form
Immunization requirements

HIPPA form (exchange of information)

When to keep your child at home

Return-to-School requirements

Student emergency contact form 


Have questions? Contact the school nurses offices at:

-- Special Education (25 Oakview Drive), 203-365-8864; fax 203-365-8900
-- TDP (40 Lindeman Drive), 203-365-8301; fax 203-365-8320
-- Six to Six, 203-365-8212; fax 203-330-6780

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Cooperative Educational Services
40 Lindeman Drive
Trumbull, CT 06611

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