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Regional School District #12
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Forms

  • Health

Health

  • Health Assessment Form
  • Authorization for the Administration of Medicine by School Personnel
  • Religious Exemption Statement
  • Measles Immunization 

SVS Health Forms

  • Students entering Grade 6 or 9 (Letter from Nurse Edi)
  • Allergy and Anaphylaxis Emergency Physician Form
  • Authorization to Provide Medication
  • Religious Exemption Statement
  • Health Assessment Record Blue Form 2018
  • Homebound/Hospitalized Verification Form
  • Letter to New or Transferring Students

Information regarding Tuition-in can be found by clicking here.

Regional School District #12
11A School Street, PO Box 386 Washington Depot, CT 06794
Tel: 860-868-6100
Fax: 860-868-6103
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