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Stonington Public Schools

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School Based Health Center

Locations

School Based Health Center
Stonington High School
176 South Broad Street
Pawcatuck, CT 06379

School Based Health Center
Stonington Middle School
204 Mistuxet Avenue
Mystic, CT 06355

School Based Health Center
West Vine Street School
17 West Vine Street School
Pawcatuck, CT 06379

First page of the PDF file: SBHCWelcomeLetterReg2022-English1

First page of the PDF file: SBHCWelcomeLetterReg2022-Spanish1

Registration Information

Enrollment/Health Information Form
Important Links

Enrollment/Health Information Form

Important Links

Registration Form – all students

English: https://www.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/