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Health Forms and Nursing Information
Nurse holding stethescope
Physical exam requirements and forms
Pre-K/early childhood (yellow form)
Health Assessment (blue form)
Immunization requirements
Medical exemption form
Vision and hearing screenings and scoliosis screenings are performed annually in the fall or spring.
 
Medication order forms
Medication/doctor order (CES form)
Medication/doctor order (CT form)
Asthma Action Plan
Allergy treatment plan
Standing orders
 
Immunization exemption forms
Medical 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 nurse at:
203-365-8212; fax 203-330-6780
 
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40 Lindeman Drive, Trumbull, CT 06611  203.365.8800

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