Link ot Connecticut Technical High School System main web site E.C. Goodwin Technical High School
735 Slater Road, New Britain, Connecticut 06053  Telephone: (860) 827-7736  Fax: (860) 827-7862

 

HEALTH INFORMATION
FROM THE SCHOOL NURSE

School Nurse - Francine Raineault
Tel. (860) 827-7736 ext. 323

E-mail: Francine.Raineault@ct.gov

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.
rInterscholastic Athletics Health History, Permission & Physician’s Release Form

Espanol (Spanish)
Importante Nota Sobre Examenes Fisicos de Deportes

Formulario Inter-escolar Atletico con Historial, Consentimiento Paternal y Relevo Medico


GENERAL
Emergency Information for School Nurse Form
Health Assessment Record (HAR3)
Health History and Emergency Contact Form
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