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Plainville Community School District
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Plainville Community School District
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(860) 793-3200
(860) 747-6790
1 Central Square, Plainville, CT 06062
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Curriculum, Instruction, and Assessment
Energy Management
Facilities Department
Finance and Operations
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Health Services
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Preschool Program
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Plainville Community School District
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Health Forms
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To select and print, please click on one of the following:
Health Assessment Record K-12
Health Assessment Record Preschool
Authorization for Medication Administration
Authorization for the Transfer/Release of Medical Records
Authorization for Treatment Procedure
EpiPen Administration Form.pdf
Authorization for Administration of Asthma Medication.pdf
If the form that you are looking for is not listed, please contact your child's school nurse.