Skip navigation
Select a School
Plainville Community School District
Frank T. Wheeler Elementary School
Linden Street School
Louis Toffolon Elementary School
Middle School of Plainville
Plainville High School
Language
View Original
Login
Guest
Admin
Plainville Community School District
Contact Us
(860) 793-3200
(860) 747-6790
1 Central Square, Plainville, CT 06062
Facebook Page
Twitter Feed
Instagram Page
Parents
Students
Community
Staff
{1}
##LOC[OK]##
MENU
Home
About Us
Comments/questions
Contact Us
Directions
FAQ
Superintendent's Message
Newsroom
Announcements
Business Brief
Community Newsletter
Current News
News Archives
Staff Notes
Superintendent's Commentary
Leadership
BOE
Central Office
Schools
Plainville High School
Middle School of Plainville
Linden Elementary School
Toffolon Elementary School
Wheeler Elementary School
Delay Information
Departments
Adult Education
Athletics
Communications
Curriculum, Instruction, and Assessment
Energy Management
Facilities Department
Finance and Operations
Food Services
Health Services
Human Resources
Plainville Family Resource Network (PFRN)
Preschool Program
Special Services
Technology
Transportation
Volunteer Services
Staff Directory
Calendar
Performances
2023/2024 Calendar
2024/2025 Calendar
2025/2026 Calendar
Employment
Resources
Parents
Students
Community
Staff
Title IX Training Resources
District Safety
Home
About Us
Comments/questions
Contact Us
Directions
FAQ
Superintendent's Message
Newsroom
Announcements
Business Brief
Community Newsletter
Current News
News Archives
Staff Notes
Superintendent's Commentary
Leadership
BOE
Central Office
Schools
Plainville High School
Middle School of Plainville
Linden Elementary School
Toffolon Elementary School
Wheeler Elementary School
Delay Information
Departments
Adult Education
Athletics
Communications
Curriculum, Instruction, and Assessment
Energy Management
Facilities Department
Finance and Operations
Food Services
Health Services
Human Resources
Plainville Family Resource Network (PFRN)
Preschool Program
Special Services
Technology
Transportation
Volunteer Services
Staff Directory
Calendar
Performances
2023/2024 Calendar
2024/2025 Calendar
2025/2026 Calendar
Employment
Resources
Parents
Students
Community
Staff
Title IX Training Resources
District Safety
Skip Sidebar Navigation
Health Forms
Home
Health Services
Health Forms
Last item for navigation
Plainville Community School District
»
Departments
»
Health Services
»
Health Forms
A-
A+
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.