Connecticut Technical School System link to web site
Kaynor Technical High School
 
43 Tompkins Street, Waterbury, Connecticut 06708  Telephone: (203) 596-4302  Fax: (203)  596-4308

Connecticut State Department of Education link to web site



HEALTH INFORMATION
FROM THE SCHOOL NURSE

School Nurse - Palma Shea
Tel. (203) 596-4302 ext. 318
E-mail: Palma.Shea@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.
Interscholastic Athletics Health History, Permission & Physician’s Release Form


GENERAL
Health Assessment Record (HAR3)
Immunization Record
Medical Exemption Form
Medicine Authorization Form
Religious Exemption Form

Husky - Healthcare for Uninsured Kids and Youth
- Healthy Children.org