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