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Immunization Requirements
for Enrolled Students


The State of Connecticut, Department of Public Health has certain immunization requirements for Enrolled Students in Connecticut Schools.

CLICK HERE to view the 2016-2017 school year immunization requirements for the grades Preschool through Grade 12. (pdf format)

CLICK HERE to 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)
Part 1 to be completed by parent, Part II to be completed by physician.  Form must be filled out and returned to the school nurse for entry to Kindergarten and during Grade 6 and Grade 9 (for entry to Grade 7 and Grade 10.)


Summer Health Services

All Middletown Students can seek summer services at the School Based Health Centers this summer!

The School Based Health Centers at Wilson, Macdonough, Keigwin and Middletown High School will be open starting on Monday, August 18, 2014, with appointments available to SBHC enrolled students in all locations for physicals, sports physicals and vaccinations.

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

Please call 860-347-6971 x3796 to schedule your child’s appointment.

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

Any links to non Middletown Public School District information are provided as a courtesy. They are not intended to constitute an endorsement of the linked materials by the Middletown Public Schools, the Superintendent of Schools, or Board of Education.

STATEMENT OF NON-DISCRIMINATION --The Middletown Board of Education is an affirmative action/equal opportunity employer, and it does not discriminate on the basis of race, color, religious creed, age, marital status, civil union, military or veteran status, national origin, ancestry, sex, gender identity or expression, sexual orientation, or past or present physical or mental disability in any of its education programs, activities, or employment policies.  All educational programs and offerings, including vocational education and extracurricular activities, subscribe to this policy. Marco Gaylord, Director of Operations, has been designated to handle inquiries regarding the district non-discrimination policies and may be reached at 311 Hunting Hill Avenue, Middletown, CT  06457; phone (860) 638-1485.


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