• The Nurse's Office

Connecticut Health Requirements and Forms

  • Connecticut law states that no one may attend school without the medical documents identified below, unless written exemption is given on medical or religious grounds.

    The Health Assessment form (HAR-3) is mandatory for Pre-School, Kindergarten, Grade 6, Grade 9, and NCHS Athletics physicals and MUST have the doctor's signature AND stamp.

  • Required Physical Examinations:

    New Students to the District:
    ALL new students (including kindergarteners) must show proof of having received both a series of required immunizations (see below) and a recent (within 12 months) physical examination by a physician licensed to practice in the USA.

    Preschool, Kindergarten, Grade 6 and Grade 9 Students:
    ALL Preschool, Kindergarten, grade 6 and grade 9 students are required to provide proof of a physical examination completed during the school year. Immunization update required.

    High School athletes participating in interscholastic sports: an annual physical exam is required.


    Religious Exemption: Public Act 15-242, CT General Statute 10-204a, effective July 1, 2015

    The state legislature amended the statute governing immunization exemptions in three ways:

    1. To claim an immunization exemption based on religious beliefs, a child’s parent or guardian must present a statement that such immunization would be contrary to the religious beliefs of the child or the parent/guardian of the child.
    2. The statement, using the form provided here within, must be acknowledged by a judge or family support magistrate, a clerk, deputy clerk of a court having a seal, a town clerk, a notary public, a justice of the peace or an attorney licensed to practice in the state of Connecticut.
    3. The amended statute requires the statement to be presented before a child can be enrolled in any public or non-public school program AND before a student can enter 7th (seventh) grade.

    Click to access Public Act No. 15-242


  • Required Health Screenings:

    Vision: Kindergarten, grades 1, 3, 4 and 5
    Hearing: Kindergarten, grades 1, 3, 4 and 5
    Scoliosis: Females in grades 5 and 7; Males in grade 9

  • Immunization Requirements for Enrolled Students at Connecticut Schools:

    The 2019-2020 Immunization Requirements for Enrolled Students at Connecticut Schools is available below in pdf format.

    Please make sure your children's medical records are current.

State of Connecticut Health Forms: