Brookfield High School

45 Long Meadow Hill Road, Brookfield, CT 06804

Mary Perrone, RN (Gr. 9-10)  perronem@brookfieldps.org 

          Phone: 203-775-7725  Ext: 4017   

          Fax: 203-740-3170 


Cassie Skabardonis, RN (Gr. 11-12) skabardonisc@brookfieldps.org

          Phone: 203-775-7725  Ext: 4018   

          Fax: 203-740-3170 

Physicals:

A completed physical,  State of CT Health Assessment Record, is required during the 9th grade year. 

State of CT Physical form

Immunization Requirements 2024-25

Sports at BHS:

All students participating in sports or practices, must have a current physical on file in the clinic. Physicals are current for 13 months.  The health information page on PowerSchool must also be completed and signed by a parent/guardian. 

State of CT Physical form 

Medications/Epipens/Inhalers:

All forms must be returned to the clinic before school starts. Students are ineligible for any field trips without a doctor's form on file in the clinic. 

All in school medications, both prescription and OTC require a medication form signed by a doctor. Inhalers and Epi-pens are the only medication allowed to be self-carry and require a doctor and parent signature on the form allowing the student to self-carry.

Overnight field trips:  All medications, both prescription and non-prescription, needed on an overnight field trip require a medication form to be filled out and signed by a doctor.  Medication and form must be given to the clinic one week prior to the start of the trip by a parent/guardian. 

Prescription and OTC order form 

Epinephrine Autoinjector order form 


Concussion and Sports injuries:

All concussions/sports injuries require a medical doctor signed note brought to the clinic the next school day. Progress notes on injury/concussion should be brought to the clinic the day following your appointment. If a concussion is diagnosed, the concussion protocol will be followed and a medical doctor’s note is required to return to all academic work and sports. All sports injuries require a doctor’s note to “return to play” for both sports and PE. 

Signs and Symptoms of a Concussion:

Headache                                                       Drowsiness

Nausea                                                              Fatigue

Vomiting                                                          Irritability

Balance Problems                                      Sadness

Dizziness                                                         Nervousness

Trouble Sleeping                                         Visual problems

Sleeping more than usual                       Sensitivity to light

Feeling more emotional                          Sensitivity to noise

Feeling mentally foggy

Difficulty concentrating/remembering