Nursing & Health Forms
Physical exam requirements and forms
Pre-K/early childhood (yellow form)
Health Assessment (blue form)PDF
Medical exemption form
Vision and hearing screenings and scoliosis screenings are performed annually in the fall or spring.
Medication order forms
Medication/doctor order (CES formPDF)
Medication/doctor order (CT formPDF)
Asthma Action PlanPDF
Allergy treatment plan
Standing orders
Health Forms
Authorization for the Administration of Medication
Immunization requirements
Health Forms (English)
Health Forms (Spanish)
(In the Health Forms packet - Student Emergency Contact Form, Current Health Status Form, Permission for Medical Decisions and Treatment, Permission to Administer Emergency Care, Medical Guidelines for a Student’s Exclusion from School, Parent/Guardian Permission/Refusal of Opioid Antagonist, HIPAA-Compliant Authorization for Exchange)
Have questions?
Special Education:
Oakview Transition Program / RISE -
Maria Lampo, RN (3rd floor)
lampom@cestrumbull.org
Phone: 203-365-8232
Fax: 203-951-0530
Oakview Middle/High School and Oakview Primary School:
Kara Delvecchio, RN (2nd floor)
delvecck@cestrumbull.org &
Sherley Edwards, LPN (2nd floor)
edwardss@cestrumbull.org
Phone: 203-365-8864
Fax: 203-951-0530
Merit Academy-
Margaret "Peggy" Uhde, RN (High School)
uhdem@cestrumbull.org
Phone: 203-365-8835
Fax: 203-365-8841 &
Karen Donovan, RN (Elementary/Middle School)
donovanK@cestrumbull.org
Phone: 203-365-8881
Fax: 203-365-8841
Interdistrict Magnet School:
Patty McCarthy
mccarthyp@cestrumbull.org
Yatska Maldonado
maldonay@cestrumbull.org
-- Six to Six (Bridgeport) - 203-365-8212 / fax 203-330-6780
RCA:
Elizabeth Petrocelli
petrocee@cestrumbull.org
-- Nurse's office (23 Oakview Drive) -
203-365-8898 / fax 203-365-8890