Inhaler/Asthma Action Plan
The link below is a Word document for parents to fill in and print off. It is a management plan to be used for a child with asthma or anaphylaxis medical conditions. Contact Nurse Dean if you have any questions on filling . . . read more
Activities Participation Form
Activities Particpation Form This form is only required for those students that have not submitted a physical, but are participating in other activities that may involve out-of-town excursions. Its purpose is to provide . . . read more
Documentation of Varicella Form
Has your child had Chickenpox?
Documentation of Varicella Form read more
Health Status Update
Health Status Update Form We need the following information to bring your child's health records up-to-date. All information will be kept in the strictest confidence. This information is important to us in offering your . . . read more
Inhaler Contract Form
Inhaler Contract Form Bridgeport Public Schools medication guidelines permits a responsible, trained student to carry and/or self-administer medication for asthma (wheezing) or diabetes on his/her person for immediate use with . . . read more
Medical Authorization Form
Medical Authorization Form THIS IS A REQUEST TO PROVIDE MEDICATION DURING SCHOOL HOURS read more
Medical History Form
Medical History Form This form is in regards to your child's medical history. read more
Permission for Release and Exchange of Information Form
Permission for Release & Exchange of Information Form read more
Physical Examination Requirements Form
Physical Examination Requirements Form The Board of Education shall require evidence of a physical examination by a physician, physician assistant, or nurse practitioner within six months prior to entrance of a child into the . . . read more
Physical Waiver Form
Physical Waiver Form read more
Refusal of Immunization for Religious Reasons Form
Refusal of Immunization for Religious Reasons Form read more
