Health Services

Marie Bordonaro, RN, BSN, NCSN
School Nursing Supervisor
SPS Health Services Main Site

Physical Exam Requirement

Southington Board of Education policy requires each student to have a health examination during grade nine to be completed by entry into grade ten. The Health Assessment Record (blue form) should be on file by June 1, 2016, but no later than the first day of school when entering tenth grade.

This examination must include a vision test, hearing test, blood pressure, postural screening, hemoglobin or hematocrit, tuberculin risk assessment, chronic disease assessment, and any immunizations update to be verified by your doctor.

Physicals must be completed within one year prior to the first day of school. No tenth grade student may start school without a complete examination and documentation. If your son/daughter's physical is not on file by the first day of school, he or she will be sent home.

Emergency Medical and Contact Form

Emergency Medical and Contact Authorization Forms

It is essential to quickly locate parents/guardians when students are ill, injured, or an emergency arises. Parent and guardians must complete and return emergency forms as soon as possible and also include home, work and cell phone numbers if available. Update any address or numbers as they change during the school year. Remember to update any changes for your emergency names and telephone numbers as well.

Please Note

  • Notify the Main office if your child will be absent and indicate the reason for absence.
  • Students may carry their metered dose inhalers (MDI), and EpiPens with them throughout the school day. All medications must have authorization forms completed by a physician and parent/legal guardian in order to be administered in school. The forms are located in the school health office and must be renewed annually or when any medication changes occur.

Sports Physicals

Sports Physical Instructions


According to Southington Board of Education policy, every student trying out and participating on a school sport team must submit a completed physical form to the school nurse each year. This physical is valid for thirteen months from the date the physical was completed.

  • The front side of the sport physical form must be filled out and signed by parent/guardian.
  • The physician must complete and sign the backside of the form.

If a student-athlete participating in intramural or interscholastic events will be carrying their (a) inhalant medications prescribed to treat respiratory conditions or (2) medication administered with a cartridge injector for students with a medically diagnosed allergic condition which may require prompt treatment to protect the student against serious harm or death, be sure to have the prescriber’s self-administration authorization box checked on the student’s MDI or EpiPen Medication Administration Authorization Form.

HUSKY Health Insurance

"HUSKY Health is the State of Connecticut’s public health coverage program for eligible children, parents, relative caregivers, senior citizens, individuals with disabilities, adults without children, and pregnant women. Children up to age 19 may qualify, regardless of family income level.

The HUSKY Health program now includes Medicaid for adults in the programs known as fee-for-service or Title 19 (Medicaid for the Aged/Blind/Disabled and Medicaid for Low-Income Adults).

The HUSKY Health program offers a full health benefits package. HUSKY Health pays for doctor visits, prescriptions, vision and dental care, and much more.

For most families and individuals, HUSKY Health coverage is free or low-cost. Even families with high incomes can get HUSKY Health benefits for children at an unsubsidized group rate."

For more information on HUSKY call:
(1-877-284-8759 -- Toll Free)

Individuals who are hearing impaired can call the TTD/TTY telephone number at: 1-866-492-5276

All above information and details can be found at|