Health Form

The State of Connecticut requires all children who attend licensed child care and nursery school programs see a physician on a yearly basis. Please use the State of Connecticut Health Assessment Form for ages birth to age 5 when you take your child to his/her annual physical and have your physician fill it out. Part I must be completed by the child’s parent or guardian and Part II must be completed by the doctor.

You can access the Health Assessment Form from the school office or follow this link:  cdc_childhlthassessrcd_2015