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Stonington Public Schools

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School Based Health Center

School Based Health Center

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Registration Information

  • Child and Family WebsiteRegistration Form – all students

          English:  https://forms.childandfamilyagency.org/forms/forms-school-based/forms-sbhc-registration/

          Spanish:  https://www.childandfamilyagency.org/forms/forms-school-based/forms-sbhc-registration-spanish/

    Health Assessment Record (first page of blue form) – all PEs

          English:   https://www.childandfamilyagency.org/forms/forms-school-based/school-based-health-assessment-record/

          Spanish:  https://www.childandfamilyagency.org/forms/forms-school-based-spanish/registro-de-evaluacion-de-salud/

    Pre-participation History Form (just for student athletes)

          English:  https://www.childandfamilyagency.org/forms/forms-school-based/forms-sports-physical/

          Spanish: https://www.childandfamilyagency.org/forms/forms-school-based/forms-sports-physical-spanish/

    Vaccine Consent Form (general)

           English:  https://www.childandfamilyagency.org/forms/forms-school-based/forms-vaccine-consent/

          Spanish:  https://www.childandfamilyagency.org/forms/forms-school-based/forms-vaccine-consent-spanish/

    Flu Vaccine Consent Form

           English:  https://www.childandfamilyagency.org/forms/forms-school-based/forms-flu-vaccine/

           Spanish: https://www.childandfamilyagency.org/forms/forms-school-based/forms-flu-vaccine-spanish/

    COVID Vaccine Consent Form

           English:    https://www.childandfamilyagency.org/forms/forms-school-based/forms-sbhc-covid-19-vaccine-consent-form/

           Spanish:   https://www.childandfamilyagency.org/forms/forms-school-based-spanish/forms-sbhc-covid-19-vaccine-consent-form-spanish/

    Asthma Control Test (students referred for albuterol/inhaler med authorizations- ages 4-11)

            English:   https://www.childandfamilyagency.org/forms/forms-school-based/forms-asthma-control-test-ages-4-11/

            Spanish:  https://www.childandfamilyagency.org/forms/forms-school-based/forms-asthma-control-test-ages-4-11-spanish/