Immunization-Physical Examination Requirements

kids running to busThe State of Connecticut, Department of Public Health has certain immunization requirements for Enrolled Students in Connecticut Schools.

VIEW the 2017-2018 school year immunization requirements for the grades Preschool through Grade 12. (pdf format)

Required Physical Form

State of Connecticut Department of Education HEALTH ASSESSMENT RECORD  (physical form - click link - pdf format) (State of CT Blue Health Assessment Record (HAR)


(The State of CT requires this form is due PRIOR to ENTRY in Pre-K, Kindergarten, 7th and 10th grades. All students must have an updated physical and immunization record reviewed and on file with the school nurse before they can begin these grades.  Part 1 to be completed by parent, Part II to be completed by physician. **A completed and parent/ health care provider signed HAR may be used in lieu of the SPORTS PHYSICAL FORM **)

Summer Health Services

The School Based Health Centers at Wilson, Macdonough, Keigwin and Middletown High School will be open for appointments. Please call 860-347-6971 x3796 to schedule your child's appointment.

Please note that students from other Middletown schools who don't currently have a School Based Health Center can also seek sport physical services at Middletown High and at Vinal Technical High School (located at 60 Daniels Street, Middletown.)

This link will guide you to the SBHC summer enrollment form.