Forms
Non-Compliance
Non-Compliance
The Connecticut General Statutes (Section 10-204a and Section 10-206) require local boards of education to ensure that each child attending school be adequately immunized and have an up-to-date health assessment (physical) on file. The Bethel Public School District requires that all students who enter Grades 7 and 10 must have a mandated health assessment dated on or after July 1, 2023 in order to be compliant.
The Connecticut General Statutes (Section 10-204a and Section 10-206) require local boards of education to ensure that each child attending school be adequately immunized and have an up-to-date health assessment (physical) on file. The Bethel Public School District requires that all students who enter Grades 7 and 10 must have a mandated health assessment dated on or after July 1, 2023 in order to be compliant.
These forms can be found below:
These forms can be found below:
Your child can also pick up a blank form during the school day at either the BMS or BHS Health Offices.
Your child can also pick up a blank form during the school day at either the BMS or BHS Health Offices.
Because the school district must comply with the state regulations, your child will not be allowed to enter school on the first day of the 2024-2025 school year, unless you provide the school with an updated health assessment and/or documentation with the necessary immunizations completed before that date.
Please provide the proper documentation to your child’s school. Paperwork can be mailed, faxed or emailed to your child’s school.
Bethel High School Bethel Middle School
Nurse Lisa Davenport, RN Nurse Christopher Cruz, RN
Nurse Jill Kurtz, RN Nurse Lydia Petitti, RN
300 Whittlesey Drive 600 Whittlesey Drive
Bethel, CT 06801 Bethel, CT 06801
Phone: 203-794-8600 ext. 1262 Phone: 203-794-8669
Fax: 203-830-7350 Fax: 203-794-8083
davenportl@bethel.k12.ct.us cruzc@bethel.k12.ct.us
Because the school district must comply with the state regulations, your child will not be allowed to enter school on the first day of the 2024-2025 school year, unless you provide the school with an updated health assessment and/or documentation with the necessary immunizations completed before that date.
Please provide the proper documentation to your child’s school. Paperwork can be mailed, faxed or emailed to your child’s school.
Bethel High School Bethel Middle School
Nurse Lisa Davenport, RN Nurse Christopher Cruz, RN
Nurse Jill Kurtz, RN Nurse Lydia Petitti, RN
300 Whittlesey Drive 600 Whittlesey Drive
Bethel, CT 06801 Bethel, CT 06801
Phone: 203-794-8600 ext. 1262 Phone: 203-794-8669
Fax: 203-830-7350 Fax: 203-794-8083
davenportl@bethel.k12.ct.us cruzc@bethel.k12.ct.us
Allergy Treatment Protocol Form
Allergy Treatment Protocol Form
Allergy treatment protocol form needs to be completed by physician and parent for anyone requiring medication for allergies. If you would like your child to self-carry EpiPen, physician and parent must sign appropriate section on form.
Allergy treatment protocol form needs to be completed by physician and parent for anyone requiring medication for allergies. If you would like your child to self-carry EpiPen, physician and parent must sign appropriate section on form.
PLEASE NOTE: THIS FORM IS VALID FOR ONE YEAR
PLEASE NOTE: THIS FORM IS VALID FOR ONE YEAR
ALLERGY TREATMENT PROTOCOL PLAN - UPDATED JANUARY 23, 2023.pdfAuthorization for the the Administration of Medicines by School Personnel
Authorization for the the Administration of Medicines by School Personnel
If your child requires medication in school, this form needs to be completed by both the parent/guardian and the physician. This requirement includes both prescription medicine and over the counter medications (i.e. Advil, Tylenol). Your child may "self carry" ONLY inhalers and epi-pens if specified on the order. These forms need to be completed each school year.
If your child requires medication in school, this form needs to be completed by both the parent/guardian and the physician. This requirement includes both prescription medicine and over the counter medications (i.e. Advil, Tylenol). Your child may "self carry" ONLY inhalers and epi-pens if specified on the order. These forms need to be completed each school year.
PLEASE NOTE: ONE FORM IS NEEDED PER MEDICATION
PLEASE NOTE: ONE FORM IS NEEDED PER MEDICATION
Updated: BPS - AuthorizationofMedication.pdfCT 2023 - 2024 Immunization Requirements
CT 2023 - 2024 Immunization Requirements
2023-24 School Requirements insert (1).pdf