Connecticut Technical High School System - link to main web site
H.H. Ellis Technical High School, 613 Upper Maple Street, Danielson, CT 06239
 
Telephone: (860) 774-8511, FAX: (860) 779-1563
Connecticut State Department of Education - link to main web site

 

HEALTH INFORMATION
FROM THE SCHOOL NURSE

Gayle Salisbury

School Nurse - Gayle Salisbury
Tel. (860) - 774-8511 ext. 1205
FAX - (860) 779-7832
Gayle.Salisbury@ct.gov

Please Read If Your Child Has Allergies. (Printable Version)

Forms
(All forms are in Adobe Acrobat format.
Download the FREE Adobe Acrobat Reader.)

SPORTS
Important Information about Sports Physical
Note: The Interscholastic Athletics Health History, Permission & Physician’s Release Form must be signed by both parent and student's medical provider. A copy of the most recent physical exam must also be attached and returned to the School Nurse.
Interscholastic Athletics Health History, Permission & Physician’s Release Form



GENERAL
Health Assessment Record (HAR3)
Health History, Emergency Contact and Non-Prescription Medication Form - Side A
Health History, Emergency Contact and Non-Prescription Medication Form - Side B
Immunization Record
Medication Authorization Form
Medical Exemption Form
Notes from the School to Parents/Guardians of Incoming 9th Grade Students
Religious Exemption Form

HUSKY - Healthcare for Uninsured Kids and Youth