Medical Information

Please view the Video Presentation for school medical requirements. 

State of CT Medical Requirements to enter school:

Medical clearance must be obtained prior to the first day of school.  Please submit your child's medical information to the Bristol-Burlington Health District via email or fax to: Catherine Plourde RN - School Health Services Coordinator.  The email address is: catherineplourde@bristolct.gov .  The fax number is 860-584-3814.  Parents can also have their child's health care provider send the medical information via fax to the attention of Catherine Plourde - Bristol-Burlington Health District.  Parents will be contacted directly if there are any questions or concerns about the medical information submitted.

T
he following documents are required to obtain medical clearance:

  1.  Current Physical (download #1 below)
  2.  Immunization Record (download #1 below)
  3.  Dental Form (download #2 below)

FOR ENGLISH:  (1) Health Assessment, and (2) Dental Form

PARA ESPANOL:  (1) Health Assessment, y (2) Dental Form

For further information please review the Bristol Burlington Health District School Health Services Brochure:

English School Health Services Brochure 

Spanish School Health Services Brochure  


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