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Brookfield Public Schools

Create Your Tomorrow

Brookfield High School

BHS Nurse's Office

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
  • Diziness
  • Nervousness
  • Trouble Sleeping
  • Visual Problems
  • Sleeping more than usual
  • Sensitivity to light
  • Feeling more emotional
  • Sensitivity to noise
  • Feeling mentally foggy
  • Difficulty concentrating/
    remembering