Entrance Requirements

State of Connecticut Immunization Requirements 2017-2018

Physical Examination Requirements 2017/2018 - Pre K, K, Grade 7 and Grade 10, Out-of-State, Out-of-Country

Physical Examination Requirements 2018/2019 - Pre K, K, Grade 7 and Grade 10, Out-of-State, Out-of-Country


Welcome to Southington Public Schools!

All students entering preschool, kindergarten and grades 7 and 10 as well as students from out-of-state and out-of-country will need a physical examination completed by their physician to enter school.

Middle School students will need a physical during grade 6 for entry into grade 7. High School students will need a physical during grade 9 for entry into grade 10.

The State of Connecticut Health Assessment Record (referred to as the "blue form") for students entering grades Kindergarten, 7 and 10 must have the front completed by the student's parent or legal guardian and the back completed by the examining physician. Preschool physicals must be on State of Connecticut Early Childhood Health Assessment Record ("yellow form").

Physicals must be completed within one year prior to the first day of school. No students entering preschool, kindergarten and grades 7 and 10 may start school without a complete examination, appropriate immunizations and documentation.

It is advised to make your doctor's appointment early in the year so that requirements are completed by the first day of school. Schedule your appointment ahead of time for entry into the 2017 - 2018 school year.

Preschool: Physical to be done within one year prior to the first day of school. No student may start school without proof of the following prior to the first day of school:

  • Yellow or Blue physical form (completely filled out – parent/guardian fills out the front and the doctor fills out the back, including a hemoglobin/hematocrit).
  • A tuberculin risk assessment is recommended.
  • A chronic disease assessment is mandated.

Immunization requirements are found in the link at the top of this page. They are subject to change in accordance to State laws. Consult your child’s physician at time of visit.

Kindergarten: Physical to be done within one year prior to the first day of school. No student may start school without proof of the following prior to the first day of school:

  • Blue physical form (completely filled out – parent/guardian fills out the front and the doctor fills out the back, including a hemoglobin/hematocrit, vision, hearing and all starred areas).
  • A tuberculin risk assessment is recommended.
  • A chronic disease assessment is mandated.

Immunization requirements are found in the link at the top of this page. They are subject to change in accordance to State laws. Consult your child’s physician at time of visit.
Entry into Grade 7 and Grade 10: Physical to be done within one year the first day of the grade 7 and grade 10 school year. No student may start school without proof of the following prior to the first day of school:

  • Physical form - (completely filled out – parent/guardian fills out the front and the doctor fills out the back, including a hemoglobin/hematocrit, vision, hearing, and all starred areas).
  • A tuberculin risk assessment is recommended.
  • A chronic disease assessment is mandated.

Immunization requirements are found in the link at the top of this page. They are subject to change in accordance to State laws. Consult your child’s physician at time of visit.

New Students from Out of State: A physical exam done within one year will be accepted (must meet all requirements of Connecticut State Law and local health policies). A tuberculin risk assessment is also required. If no proof is presented, the student will be excluded from school.

New Students from Out of the Country: A physical exam completed by an authorized healthcare practitioner licensed in the United States must be done prior to enrolling (must meet all requirements of Connecticut State Law and local health policies). An authorized healthcare practitioner licensed in the United States stationed on U.S. military base anywhere is also acceptable. A tuberculin skin test is required. If the requirements are not met, the student will be excluded from school.

Sports Physicals - Students Grades 6 to 12: According to Southington Board of Education policy, every student trying out and participating on a school sport team must submit a completed "blue" physical examination form every 3 months. The State of CT Department of Education Health Assessment Record is now the Southington Sports Physical form as well. The sports physical is valid for thirteen months:

  • Front side of the blue physical examination form must be filled out and signed by a parent/guardian.
  • Back side of sports physical examination form must be completed by the doctor. These forms are available in the health offices or at this web site: Health Forms

Grades 6 - 12:

  • Southington High School and Middle School sports require completion and submission of the online registration and have a valid physical examination on file in the Nurse's Office.
  • Register online at FamilyID
  • Southington Sports

You may wish to plan ahead to schedule your child’s physical to coincide with any necessary sports physical for that school year.

If you are financially unable to meet these requirements and your child is receiving free or reduced hot lunch, please contact your school nurse and arrangements will be made with the school physician to conduct your child’s physical. The State of Connecticut HUSKY Plan offers a comprehensive health care benefit package for Connecticut children up to age 19. Depending on your family’s income, there may be no cost to you. Call your school nurse or 1-877-CT HUSKY for more information.

The Health Assessment Record (blue form) should be on file by June 1, 2017, but no later than the first day of school when your child enters kindergarten, seventh or tenth grade for the 2017 - 2018 school year. This notice serves as ample notification of mandatory physicals to parents whose children are currently in grades six and nine . Parents and students are advised that they can make an appointment with principals or school nurses to discuss issues they may have about the health examinations. If after this discussion the health assessment is not complete, your child will not be allowed to be enrolled until all requirements are met. This requirement includes all children new to Connecticut schools. Thank you for your cooperation in this important matter.

You are urged to schedule a doctor’s appointment well in advance of the deadline.

Please call the nurse at your school with any questions or concerns.

It is strongly advised to keep a copy of your child's physical form for your records!

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