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Physical Examination Requirements


Southington Board of Education policy requires each pupil to have a health examination during grade six to be completed by entry into grade seven.

The physical exam must be done within one year before the first day of Grade 7 school entry. No student may start grade seven without proof of the following prior to the first day of school:

  • State of Connecticut Health Assessment Record – (completely filled out – parent/guardian fills out the front and the doctor fills out the back, including a hemoglobin/hematocrit, vision, hearing, TB risk assessment, chronic disease assessment, and all starred areas).

Tdap/Td: 1 dose for students who have completed their primary DTaP series. Students who start the series at age 7 or older only need a total of 3 doses of tetanus-diphtheria containing vaccine, one of which must be Tdap

Polio: At least 3 doses. The last dose must be given on or after 4th birthday

MMR: 2 doses separated by at least 28 days, 1st dose on or after 1st birthday

Meningococcal: 1 dose

Hep B: 3 doses, last dose on or after 24 weeks of age

Varicella: 2 doses separated by at least 3 months-1st dose on or after 1st birthday; or verification of disease

Parent/guardian may present a written statement signed and dated by a physician, physician assistant, or advanced practice registered nurse indicating that the individual has already had varicella based on family and/or medical history.

A tuberculin risk assessment is highly recommended.
A chronic disease assessment is mandated.

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 and chronic disease 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.

Annual Sports Physicals - Students Grades 6 to 12 (see Sports Regulations page)

According to Southington Board of Education policy, every student trying out and participating on a school sport team must submit a completed physical examination form (Health Assessment Record) and Sports Participation Permission form to the school nurse each year. 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 (13) months. You may wish to plan ahead to schedule

your child’s physical to coincide with any necessary sports physical for that school year.

  • The doctor must complete and sign the physical examination page of Health Assessment Record. These forms are available in the health offices and online. If you are unable to meet these requirements financially, 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 1-877-CT-Husky for more information.

The Health Assessment Record (blue form) should be on file by the last day of the grade 6 school year, but no later than the first day of school when your child enters seventh grade. This letter serves as ample notification of mandatory physicals to parents whose children are currently in grade six. 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.